ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Identify the client using two means of identification. This should be the first action taken by the nurse to ensure the right medication is being given to the right patient. By confirming the client's identity with two separate identifiers, such as asking for their name and date of birth or checking their hospital wristband and asking for confirmation verbally, the nurse can prevent medication errors. Documenting the time of administration (
B) should come after confirming the client's identity. Validating the prescription with available medication (
C) and calculating the correct amount of medication (
D) should be done after confirming the client's identity to ensure the medication is being given to the right person.
Question 2 of 5
A nurse is assisting in the development of an in-service about the varicella vaccine. The nurse should include which of the following examples as a contraindication for receiving the vaccine?
Correct Answer: D
Rationale: The correct answer is D: A client who is pregnant. Varicella vaccine is contraindicated during pregnancy due to the potential risk of harm to the fetus. The live attenuated vaccine may pose a theoretical risk of causing harm to the developing fetus. It is recommended that women avoid becoming pregnant for at least one month after receiving the varicella vaccine.
A: Breastfeeding is not a contraindication for the varicella vaccine. In fact, breastfeeding is encouraged after receiving the vaccine.
B: Having an allergy to latex is not a contraindication for the varicella vaccine.
C: Having a sinus infection is not a contraindication for the varicella vaccine.
E, F, G: No information given, so they cannot be evaluated.
Extract:
History and Physical 2 weeks ago: Client is in the office for evaluation of acne vulgaris. Past medical history significant for worsening acne vulgaris, unresponsive to previous treatments. Client has been taking a combined oral contraceptive as directed for the past year. Comedones and cystic lesions on face, chest, and back. Acne scarring present on cheeks bilaterally and upper back. Liver function tests (LFTs), fasting lipid panel, serum human chorionic gonadotropin (hG) ordered today. Plan to follow up In 2 weeks for review of laboratory results and medication initiation.
Question 3 of 5
Select the 2 educational topics the nurse should prioritize when reinforcing education to the client about the prescribed medication.
Correct Answer: B, D
Rationale: The correct answers are B and D. The nurse should prioritize educating the client on using two forms of birth control to prevent pregnancy while on the medication, ensuring safety. Understanding manifestations of depression is crucial as the medication may have side effects impacting mental health.
Choices A, C, and E are not directly related to the prescribed medication and are less urgent for client safety.
Extract:
Question 4 of 5
A nurse is talking with a client who has been taking levothyroxine to treat hypothyroidism. The nurse should instruct the client to avoid taking which of the following over-the-counter medications within 4 hr of taking levothyroxine?
Correct Answer: D
Rationale: The correct answer is D: Calcium supplements. Calcium can interfere with the absorption of levothyroxine, reducing its effectiveness. The nurse should instruct the client to avoid taking calcium supplements within 4 hours of taking levothyroxine to ensure proper absorption.
A: Fish oil supplements do not interfere with levothyroxine absorption.
B: Bulk-forming laxatives do not interfere with levothyroxine absorption.
C: Oral antihistamines do not interfere with levothyroxine absorption.
Question 5 of 5
A nurse is preparing to administer 1 L of IV fluid over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 167 mL/hr
Rationale:
To calculate the IV pump rate, divide the total volume (1L = 1000mL) by the total time in hours (6hr).
1000mL / 6hr = 166.67 mL/hr, rounded to the nearest whole number is 167 mL/hr.
This rate ensures the administration of 1L over 6 hours.
Option A: Incorrect as it does not match the calculated rate.
Options B-G: Irrelevant as they do not align with the correct calculation.