ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching?
Correct Answer: B
Rationale: Reporting a sore throat shows understanding of prednisone's immunosuppressive effect, increasing infection risk. It's taken with food, sodium increase worsens fluid retention, and weight gain is expected.
Question 2 of 5
A nurse is caring for a client who has been taking epoetin alfa for 3 months. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
Correct Answer: D
Rationale: Epoetin alfa stimulates red blood cell production, so hemoglobin (Hgb) levels are monitored to assess its effectiveness. AST assesses liver function, troponin indicates heart damage, and T4 measures thyroid function, none of which relate to epoetin alfa's purpose.
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: 110 lb = 50 kg; 5 mg/kg = 250 mg; 250 mg / 250 mg/mL = 1 mL, rounded to 1 mL.
Question 4 of 5
A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?
Correct Answer: D
Rationale: The iPLEDGE program requires sexually active female clients to use two forms of birth control due to isotretinoin's severe teratogenic effects. Mammograms, Pap tests, and vitamin A supplements are not part of this program's requirements.
Question 5 of 5
A nurse is caring for a client who is postoperative following arthroscopy and reports a pain level of 6 on a scale of 0 to 10 after receiving ketorolac 1 hr ago. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Oxycodone is appropriate for breakthrough pain (6/10) post-ketorolac. Ketorolac isn't dosed every 3 hours, rectal acetaminophen isn't first-line, and labeling as drug-seeking is premature.