ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The Z-track technique prevents leakage into subcutaneous tissue for IM injections like those for gonorrhea. Umbilicus distance applies to subcutaneous injections, aspiration is standard, and a 27-gauge needle is too small.
Question 2 of 5
A nurse is collecting data from a client who is taking aspirin. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Rhinitis may indicate an allergic reaction to aspirin, which should be reported. Headache is a possible side effect but less urgent, while hematocrit 43% and BP 120/70 mm Hg are normal and not concerning.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for fexofenadine tablets to treat seasonal allergies. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Fexofenadine may cause dizziness or drowsiness, so avoiding driving until effects are known is prudent. Magnesium hydroxide has no specific interaction, fluid intake isn't restricted to 1 liter, and orange juice reduces absorption.
Question 4 of 5
A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?
Correct Answer: C
Rationale: Feeling effects within 5 minutes shows understanding of nitroglycerin's rapid action. It's not taken with food, may increase (not slow) heart rate, and is dosed every 5 minutes up to three times.
Question 5 of 5
A nurse is preparing to administer digoxin to a client. For which of the following findings should the nurse withhold the medication?
Correct Answer: A
Rationale: An apical pulse of 54/min is below the adult threshold of 60 bpm, indicating a risk of bradycardia with digoxin, which slows heart rate. Other findings (normal respiratory rate, hypertension, mild fever) do not warrant withholding the drug.