ATI LPN Fundamentals Exam

Extract:

Client preparing to receive antihypertensive medication

Question 1 of 5

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

A. The client reports having trouble sleeping the previous night.B. The client reports dizziness when ambulating to the bathroom.C. The client has a urine output of 400 mL for the past 8 hrD. The client ate 60% of their breakfast.

Correct Answer: B

Rationale: Dizziness (
B) suggests hypotension, risking further drop with antihypertensives. Sleep issues (
A), urine output (
C), and meal intake (
D) are less critical.

Extract:

Patient at risk for polypharmacy

Question 2 of 5

Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)?

A. The patient has weekly laboratory tests for warfarin dosing.B. The patient uses four different pharmacies to fill his 16 prescriptions.C. The patient is allergic to strawberries, latex, and penicillin antibiotics.D. The patient takes three different medications to treat hypertension.E. The patient's daughter administers the patient's eyedrops every evening.

Correct Answer: B,D

Rationale: Multiple pharmacies (
B) risk interactions, and three hypertension drugs (
D) increase polypharmacy risk. Warfarin tests (
A), allergies (
C), and eyedrops (E) don't contribute.

Extract:

Question 3 of 5

This medication is most commonly used to treat acute angina attacks:

A. Potassium ChlorideB. NitroglycerinC. FurosemideD. Atenolol

Correct Answer: B

Rationale: Nitroglycerin (
B) relieves acute angina via vasodilation. Potassium (
A), furosemide (
C), and atenolol (
D) treat other conditions.

Extract:

Group of clients including one requiring dialysis

Question 4 of 5

A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at the greatest risk of developing medication toxicity?

A. A client who has a respiratory infectionB. A client who has hyperthyroidismC. A client who requires dialysisD. A client who has back pain

Correct Answer: C

Rationale: Dialysis patients (
C) have poor drug excretion, increasing toxicity risk. Respiratory (
A), hyperthyroidism (
B), and back pain (
D) pose less risk.

Extract:

Client with heart failure receiving furosemide

Question 5 of 5

A nurse is collecting data from a client who has heart failure, prior to the administration of furosemide. For which of the following findings should the nurse withhold the medication?

A. Serum potassium level of 4.8 mEq/LB. Serum sodium level of 140 mEq/LC. Oxygen saturation of 95%D. Blood pressure of 80/40 mm/Hg

Correct Answer: D

Rationale: Low BP 80/40 mm/Hg (
D) risks worsening with furosemide. Normal potassium (
A), sodium (
B), and oxygen (
C) don't warrant withholding.

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