ATI LPN
ATI PN Pharmacology 2023 Questions
Extract:
Question 1 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.
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 caring for a client who is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?
Correct Answer: B
Rationale: Disulfiram causes aversive symptoms with alcohol intake, supporting abstinence. Others don't work via aversion.
Question 4 of 5
A nurse is preparing to administer enoxaparin 5 mg/kg subcutaneous daily to a client who has deep-vein thrombosis. The client weighs 152 lb. Available is 120 mg/0.8 mL prefilled syringe. Calculate the dosage in mL that the nurse should administer. (Round the answer to the nearest tenth. Use a leading zero if applicable. Do not use a trailing zero.)
Correct Answer: A
Rationale: 152 lb = 68.946 kg; 5 mg/kg × 68.946 = 344.73 mg; 344.73 mg ÷ (120 mg/0.8 mL) = 2.3 mL.
Question 5 of 5
A nurse in an influenza clinic is collecting data from four clients. Which of the following clients should the nurse identify as having a contraindication for receiving the live attenuated form of the influenza vaccine?
Correct Answer: B
Rationale: Pregnancy contraindicates LAIV; IIV is recommended instead. Rhinitis, tattoos, and travel aren't contraindications.