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: [ , , , , , , ]
Extract:
Question 2 of 5
A nurse is preparing to administer medications to a client through an enteral feeding tube. Which of the following interventions is appropriate?
Correct Answer: D
Rationale: The correct answer is D: Flush the tube with 30 ml of water between each medication. Flushing the tube with water between medications helps prevent clogging and ensures proper medication administration. It also helps prevent interactions between different medications. Adding medications to the feeding bag (choice
A) may cause drug interactions or alter the efficacy of the medications. Checking for gastric residual 15 min after administering medications (choice
B) is not necessary for enteral tube medication administration. Keeping the client's head elevated 15° (choice
C) is important during feeding, but not specifically for medication administration.
Question 3 of 5
A nurse is collecting data from a client who reports nausea and has vomited clear emesis. Which of the following medications should the nurse administer?
Correct Answer: D
Rationale: The correct answer is D: Promethazine. Promethazine is an antiemetic medication commonly used to treat nausea and vomiting. It works by blocking dopamine receptors in the brain, reducing the feeling of nausea. Meperidine (
A) is a pain medication and not indicated for nausea. Diazepam (
B) is a benzodiazepine used for anxiety and seizures, not for nausea. Naloxone (
C) is an opioid antagonist used for opioid overdose, not for nausea.
Question 4 of 5
A nurse is caring for a client who has ulcerative colitis and is receiving sulfasalazine. Which of the following findings requires immediate intervention?
Correct Answer: D
Rationale: The correct answer is D: Wheezing. Wheezing is a sign of a severe allergic reaction to sulfasalazine, known as Stevens-Johnson syndrome, which is a medical emergency requiring immediate intervention to prevent respiratory distress and potential anaphylaxis. Anorexia, arthralgia, and nausea are common side effects of sulfasalazine but do not indicate an immediate threat to the client's well-being. Wheezing is the most critical finding that needs urgent attention.
Question 5 of 5
A nurse in a clinic receives a telephone call from a client who has tuberculosis and was prescribed rifampin 3 days ago. The client reports, 'My saliva and tears are red. What should I do?' Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: The correct response is A: "This is an expected adverse effect of the medication." Red discoloration of bodily fluids is a known side effect of rifampin. The medication can cause harmless discoloration of saliva, tears, sweat, and urine. It does not indicate an allergic reaction or a serious issue that requires stopping the medication.
Choice B is incorrect as stopping the medication abruptly is not necessary.
Choice C is incorrect as the duration of this side effect varies.
Choice D is incorrect as the discoloration is not related to the consumption of red meat.