ATI LPN Fundamentals Exam

Extract:

Client with new prescription for hydrochlorothiazide

Question 1 of 5

A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include?

A. Plan to take the medication at bedtimeB. Expect increased swelling of the anklesC. Take your weight at the same time every day.D. Limit fluid intake in the morning

Correct Answer: C

Rationale: Daily weight monitoring (
C) tracks diuretic efficacy. Bedtime dosing (
A) causes nocturia, swelling (
B) signals issues, and fluid limits (
D) aren't needed.

Extract:

Question 2 of 5

A nurse is preparing to enter a prescription from a provider. Which of the following formats should the nurse use?

A. Metformin 500mg one tablet q1dB. Metformin 500mg one tablet PO dailyC. Metformin 500mg one tablet q.d.D. Metformin 500mg one tablet QD

Correct Answer: B

Rationale: PO daily (
B) is clear and standard. q1d (
A), q.d. (
C), and QD (
D) risk misinterpretation per safety guidelines.

Question 3 of 5

Before administering client medications, the nurse must identify the client. Which of the following methods of identification should the nurse use?

A. Ask a family member to verify the client's identity.B. Check the client's name on the medication administration record (MAR)C. Verify the client's room numberD. Ask the client's full name and date of birth.

Correct Answer: D

Rationale: Name and birth date (
D) confirm identity reliably. Family (
A), MAR (
B), or room number (
C) are less secure.

Extract:

Postoperative patient on antibiotic therapy, develops hives and itching after second IV dose

Question 4 of 5

A postoperative patient is undergoing antibiotic therapy. She has never had any problems taking medications in the past. When the nurse hung the second dose of IV antibiotics, the patient suddenly developed hives and itching. The nurse recognized this was most likely a(n):

A. allergic reaction.B. side effect.C. toxic effect.D. idiosyncratic reaction.

Correct Answer: A

Rationale: Hives and itching indicate an allergic reaction (
A), an immune response. Side effects (
B) are predictable, toxic effects (
C) involve overdose, and idiosyncratic reactions (
D) are rare and unrelated.

Extract:

Patient with respiratory infection asking about antibiotic dosing intervals

Question 5 of 5

A patient with a respiratory infection asks the nurse why some antibiotics are prescribed to be given every 12 hours while others have to be taken 4 times per day. What is the nurse's best response?

A. Regular doses are given based on the half life of the medication to maintain a therapeutic effect'B. We try to give the next dose of medication only after the last dose is gone'C. The time between medication varies to fit the nurse's schedule'D. We need to vary the times of administration to keep the blood levels fluctuating'

Correct Answer: A

Rationale: Dosing by half-life (
A) maintains therapeutic levels. Waiting for clearance (
B), nurse schedules (
C), or fluctuating levels (
D) are incorrect.

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