ATI LPN
ATI PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer regular and NPH insulin to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Withdraw regular insulin first, then NPH to avoid contamination. Mix in one syringe, not separate.
Question 2 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: D
Rationale: Dizziness from ramipril suggests hypotension; an IV fluid bolus raises blood pressure. Carbohydrates treat hypoglycemia, diphenhydramine allergies, and naloxone opioid overdose—none apply here.
Question 3 of 5
A nurse is preparing to administer vaccines to an 11-year-old child who is up to date on immunizations. Which of the following vaccines should the nurse plan to administer?
Correct Answer: D
Rationale: The Quadrivalent HPV vaccine is recommended at 11-12 years, while Hepatitis B, Rotavirus, and Pneumococcal conjugate are completed earlier if the child is up to date.
Question 4 of 5
A nurse is preparing to administer an insulin injection for a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Insulin is injected at 90° into subcutaneous tissue like the thigh with a small needle, not rapidly, with a tuberculin syringe, or via Z-track.
Question 5 of 5
A nurse is reinforcing teaching about phenytoin with a client who had a tonic-clonic seizure. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. It does not lower potassium, ginkgo biloba has no significant interaction, and photosensitivity is less critical than hyperplasia.