ATI LPN
ATI LPN Fundamentals exam VI Questions
Extract:
Question 1 of 5
A nurse is reviewing a client's peak and trough levels of gentamicin. The peak should be 6 to 8 mcg/mL and the trough should be 0.5 to 1 mcg/mL. The client's peak is10 mcg/mL and his trough is 2.3 mcg/mL. Which of the following clinical manifestations should the nurse expect with these findings?
Correct Answer: D,E
Rationale: Elevated gentamicin levels can cause neurotoxicity (headache) and ototoxicity (tinnitus), not insomnia, constipation, or dry mouth.
Question 2 of 5
A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid muscle?
Correct Answer: B
Rationale: The deltoid is located 3 fingerbreadths below the acromion process on the lateral upper arm, not in the thigh or mid-arm.
Question 3 of 5
A nurse is caring for a client who has gastroesophageal disease and a prescription for metoclopramide. For which of the following adverse effects should the monitor?
Correct Answer: D
Rationale: Blurred vision is a known adverse effect of metoclopramide due to CNS effects, unlike sedation, urinary retention, or hypertension which are less specific.
Question 4 of 5
A nurse is assisting with teaching a newly licensed nurse about preventing puncture injuries. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Replacing sharps containers at 3/4 full prevents overfilling and injury, unlike unsafe wastebasket disposal, recapping, or breaking needles.
Question 5 of 5
A nurse is preparing to administer heparin subcutaneously to an obese client who has a deep vein thrombosis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A 90° angle suits obese clients' thicker subcutaneous tissue, unlike a larger gauge needle, massaging (risks bruising), or aspirating (unnecessary).