ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
History and Physical
Medication Administration Record
Vital Signs
1630:
Called to client's room by emergency call bell. Client is alert and oriented to person, place, and time. Client is short of breath, intercostal retractions visible. Wheezing auscultated throughout lung fields. Diffuse, raised rash present on trunk. Abdomen soft. nontender.
A nurse in the emergency department is assisting in the care of a client.
Click to highlight the findings that require immediate follow-up. To deselect a finding click on the finding again.
Nurses Notes
1630:
Called to client's room by emergency call bell. Client is alert and oriented to person, place, and time. Client is short of breath, intercostal retractions visible. Wheezing auscultated throughout lung fields, Diffuse, raised rash present on trunk. Abdomen soft, nontender
Vital Signs
1630:
Temperature 38.3°C (101°F)
Heart rate 110/min
Respiratory rate 30/min
Blood pressure 90/55 mmHg
Oxygen saturation 91% on room air
Question 1 of 5
Click to highlight the findings that require immediate follow-up.
| Client is short of breath |
| Intercostal retractions visible |
| Wheezing auscultated throughout lung fields |
| Diffuse, raised rash present on trunk |
| Respiratory rate 30/min |
| Blood pressure 90/55 mmHg |
| Oxygen saturation 91% on room air |
Correct Answer: A,B,C,D,E,F,G
Rationale: Shortness of breath, intercostal retractions, wheezing, rash, respiratory rate 30/min, blood pressure 90/55 mmHg, and oxygen saturation 91% indicate a severe allergic reaction or anaphylaxis requiring urgent intervention.
Extract:
Question 2 of 5
A nurse is caring for a client who is taking alendronate to treat osteoporosis. The nurse should monitor for which of the following adverse effects?
Correct Answer: C
Rationale: Musculoskeletal pain is a known side effect of alendronate due to bone remodeling effects. Drowsiness, dyskinesia, and weight gain aren't typical.
Question 3 of 5
A nurse is caring for a client who reports difficulty breathing during the administration of an intermittent IV bolus of nafcillin. After stopping the infusion and notifying the provider, the nurse should anticipate a prescription for which of the following medications?
Correct Answer: C
Rationale: Epinephrine treats anaphylaxis, indicated by breathing difficulty with nafcillin. Deferoxamine chelates iron, vitamin K reverses warfarin, and prednisone is slower-acting.
Extract:
Vital Signs
History and Physical
Assessment
Laboratory Results
Provider Prescriptions
Yesterday:
Temperature 37.4° C (99.3° F)
Heart rate 92/min
Respiratory rate 18/min
Blood pressure 130/82 mm Hg
Oxygen saturation 97% on room air
Today:
Temperature 38.9° C (102° F) Heart rate 110/min
Respiratory rate 18/min
Blood pressure 138/88 mm Hg
Oxygen saturation 96% on room air
Question 4 of 5
The nurse has reviewed the client's electronic medical record (EMR). Which of the following findings should the nurse recommend withholding the ceftriaxone? Select all that apply.
Correct Answer: B,C
Rationale: Client allergy risks cross-reactivity with penicillin; gentamicin increases nephrotoxicity risk with ceftriaxone. Breastfeeding, hematocrit, and hemoglobin aren't contraindications.
Extract:
Question 5 of 5
A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?
Correct Answer: D
Rationale: The nurse administers a PCA dose for the client risks overdose only the client should press it. Monitoring, reassuring, and demonstrating are appropriate.