ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medications to a client through an enteral feeding tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Flush the tube with normal saline following medication administration. Flushing the tube with normal saline after medication administration helps ensure that the medication is completely delivered into the stomach and prevents any residual medication from clogging the tube. This action also helps prevent any potential drug interactions or reactions that may occur if different medications are inadvertently mixed in the tube. Additionally, flushing the tube with normal saline helps maintain the patency of the tube and reduces the risk of infections.
Other choices are incorrect because:
A: Pinching the tube while connecting the syringe can lead to blockage and prevent proper medication administration.
B: Elevating the head of the client's bed to 10° is a good practice for preventing aspiration during feeding, but it is not directly related to administering medications through an enteral tube.
D: Combining crushed medications in a single syringe can lead to drug interactions or inconsistent dosing.
Question 2 of 5
A nurse is preparing to administer gentamicin to a child who weighs 44 lb. The provider prescribes 6 mg/kg/day IV to be administered in three equal doses. Available is gentamicin 40 mg/mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the dosage, first, convert the child's weight to kg: 44 lb / 2.2 = 20 kg. Next, calculate the total daily dose: 6 mg/kg/day * 20 kg = 120 mg/day. Since the dose is to be divided into three equal doses, each dose would be 120 mg / 3 = 40 mg. Since gentamicin is available as 40 mg/mL, the nurse should administer 1 mL for each dose (40 mg / 40 mg/mL = 1 mL).
Therefore, the correct answer is A: 1 mL.
Choices B-G are incorrect as they do not align with the calculated dose based on the child's weight and the available concentration of the medication.
Question 3 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: A
Rationale:
To calculate the dose of amikacin for a client weighing 110 lb, convert the weight to kg by dividing by 2.2: 110 lb / 2.2 = 50 kg. Next, multiply the weight by the prescribed dose of 5 mg/kg: 50 kg x 5 mg/kg = 250 mg. Since the amikacin injection is 250 mg/mL, the nurse should administer 1 mL (250 mg ÷ 250 mg/mL = 1 mL).
Therefore, choice A (1 mL) is the correct answer.
Choices B-G are incorrect as they do not align with the accurate calculation based on the client's weight and the medication concentration.
Question 4 of 5
A nurse is preparing to administer somatropin 0.24 mg/kg/week subcutaneously to be divided into six daily doses to a school-age child who weighs 66 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the dosage per dose, first convert the child's weight from pounds to kilograms: 66 lb ÷ 2.2 = 30 kg.
Then, multiply the weight by the prescribed dosage: 30 kg × 0.24 mg/kg/week = 7.2 mg/week. Since the total weekly dosage is divided into 6 daily doses, divide 7.2 mg by 6 to get the per-dose amount: 7.2 mg ÷ 6 = 1.2 mg.
Therefore, the nurse should administer 1.2 mg per dose.
Choice A (1.2 mg) is correct because it reflects this calculation. The other choices are incorrect as they do not accurately represent the calculated dosage based on the child's weight and the prescribed dosage regimen.
Question 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
Correct Answer: D
Rationale:
Step 1: Instructing visitors not to operate the PCA pump is crucial to prevent unauthorized administration of morphine, ensuring safety and preventing potential overdose.
Step 2: Visitors may mistakenly press the button, leading to excess drug delivery, respiratory depression, and other serious complications.
Step 3: Regular monitoring and control over PCA administration by healthcare professionals are essential to maintain patient safety.
Summary:
Choices A and B are incorrect as they do not address the specific safety concern related to PCA.
Choice C is incorrect as pain assessment should be more frequent.