ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication record of a client who has hypertension. Which of the following medications should the nurse administer to lower the client's blood pressure?
Correct Answer: B
Rationale: The correct answer is B: Amlodipine. Amlodipine is a calcium channel blocker commonly used to treat hypertension by relaxing blood vessels, reducing blood pressure. It is a first-line medication for hypertension management. Promethazine (
A) is an antihistamine, Fluconazole (
C) is an antifungal, and Phenazopyridine (
D) is a urinary analgesic, none of which are indicated for hypertension. Selecting Amlodipine aligns with evidence-based practice guidelines for hypertension management.
Question 2 of 5
A nurse is preparing to administer enoxaparin 5,000 units subcutaneous to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Insert the needle at a 45° or 90° angle. When administering enoxaparin subcutaneously, the nurse should insert the needle at a 45° or 90° angle to ensure proper delivery into the subcutaneous tissue. Angling the needle helps prevent injecting the medication too deeply or too superficially, ensuring optimal absorption and effectiveness. Holding the skin taut (choice
B) is not required for subcutaneous injections. Massaging the injection site (choice
C) after administering enoxaparin is not recommended as it can cause irritation or bruising. Using a 4 cm needle (choice
D) is not specified for enoxaparin administration and may not be appropriate for all clients.
Question 3 of 5
A nurse is caring for a client who has cellulitis and is to begin antibiotic therapy. The client has a history of anaphylactic reaction to penicillin. Which of the following medications is contraindicated for this client?
Correct Answer: D
Rationale: The correct answer is D: Cephalexin. Cephalexin is a first-generation cephalosporin antibiotic, which shares a similar beta-lactam ring structure with penicillin. Due to the client's history of anaphylactic reaction to penicillin, there is a high risk of cross-reactivity and potential severe allergic reaction if cephalexin is administered.
Therefore, it is contraindicated for this client.
Choice A: Fluconazole is an antifungal medication and does not have cross-reactivity with penicillin.
Choice B: Tetracycline is a broad-spectrum antibiotic that is not related to penicillin.
Choice C: Acyclovir is an antiviral drug and is not contraindicated in a client with a penicillin allergy.
Question 4 of 5
A nurse is collecting data from a client who is taking prednisone and self-administers insulin daily. The nurse should identify that which of the following findings indicates a medication interaction?
Correct Answer: B
Rationale: The correct answer is B: Hyperglycemia. Prednisone can increase blood sugar levels, and insulin is used to lower blood sugar levels. If the client is experiencing hyperglycemia while taking both medications, it indicates a possible medication interaction. Orthostatic hypotension (
A) is not typically associated with this medication combination. Paresthesia (
C) and jaundice (
D) are not commonly related to prednisone and insulin interactions.
Question 5 of 5
A nurse is reinforcing discharge teaching with a client who has tuberculosis and a prescription for rifampin. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should take this medication on an empty stomach." Rifampin should be taken on an empty stomach to maximize absorption. Taking it with food can decrease its effectiveness.
Choice A is incorrect because rifampin treatment typically lasts several months, not just until one negative sputum culture.
Choices C and D are incorrect as they are not common side effects of rifampin. The client should be informed about potential side effects, such as gastrointestinal upset or discoloration of bodily fluids, but not ringing in the ears or joint pain.