ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer enoxaparin subcutaneously to a client using a prefilled syringe. The nurse should plan to use which of the following techniques when administering this medication?
Correct Answer: B
Rationale: The air bubble helps to ensure that the entire dose of medication is delivered and prevents bleeding from the injection site. The nurse should plan to inject enoxaparin subcutaneously into abdominal tissue using a prefilled syringe without expelling the air bubble or aspirating prior to injecting the medication. Aspiration is not recommended because it may cause hematoma formation. Massaging the site is generally not recommended after enoxaparin injections to avoid bruising or hematoma formation.
Question 2 of 5
A nurse is preparing to administer amikacin 5 mg/kg IM to a client who weighs 110 lb. Available is amikacin injection 250 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)
Correct Answer: 1
Rationale:
To answer this question, you need to perform the following steps: Convert the client's weight from pounds to kilograms by dividing by 2.2. 110 lb / 2.2 = 50 kg. Calculate the dose of amikacin in milligrams by multiplying the client's weight by the prescribed dose per kilogram. 50 kg × 5 mg/kg = 250 mg. Calculate the volume of amikacin in milliliters by dividing the dose in milligrams by the concentration of the injection. 250 mg / 250 mg/mL = 1 mL. Round the answer to the nearest whole number. The nurse should administer 1 mL of amikacin IM to the client.
Question 3 of 5
A nurse is reinforcing discharge teaching with a client who has a new prescription for rifampin. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The client should take this medication on an empty stomach, at least 1 hour before or 2 hours after a meal, to increase its absorption and effectiveness. Rifampin can cause harmless discoloration of body fluids, including urine, to a red-orange color. Insomnia is not a common side effect of rifampin. Unusual hair growth is not typically associated with rifampin use.
Question 4 of 5
A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?
Correct Answer: B
Rationale: Diphenhydramine is an antihistamine and is not indicated for treating dizziness and lightheadedness associated with ramipril. Dizziness and lightheadedness may be indicative of hypotension, and an IV fluid bolus can help increase blood pressure. Naloxone is used to reverse opioid overdose and is not indicated for the symptoms described. Carbohydrates are not typically used to address dizziness and lightheadedness associated with antihypertensive medications.
Question 5 of 5
A nurse who is preparing to administer medications to a client is unfamiliar with a medication that the client takes at home. Which of the following resources should the nurse consult?
Correct Answer: D
Rationale: While the family may provide some information, a nursing drug guide is a more reliable and comprehensive resource. Another nurse may have some knowledge, but consulting a drug guide is a standard and reliable practice. While they can provide information, their perspective may be biased, and it's not a standard resource for immediate clinical information. A nursing drug guide is a comprehensive and unbiased resource that provides essential information about medications.