ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Nurses' Notes
0800:
Client reports frequent cough, wheezing, and tightness of chest. Bilateral breath sounds with scattered inspiratory and expiratory wheezes.
1000:
Reinforced teaching about newly prescribed medications.
Question 1 of 5
Click to highlight the instructions the nurse should reinforce to the client.
| Take your albuterol when you are having difficulty breathing. |
| Hold your breath for 20 seconds when taking your albuterol. |
| Take the salmeterol 5 minutes before the albuterol when you need both medications. |
| Take the salmeterol 2 times each day. |
| Rinse out your mouth after taking the fluticasone. |
| Take the fluticasone as needed for an asthma attack. |
Correct Answer: A,D,E
Rationale: Albuterol is for acute symptoms , salmeterol is twice daily , and rinsing after fluticasone prevents thrush (E). 20 seconds is too long, salmeterol isn't for acute use , and fluticasone isn't PRN (F).
Extract:
Question 2 of 5
A nurse is planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: A scar-free site ensures accurate TST results. Volume is 0.1 mL , angle is 5-15° , and massaging distorts results.
Question 3 of 5
A nurse is reinforcing teaching with the parents of a 13-month-old child following administration of the measles mumps rubella (MMR) Immunization. Which of the following statements by the nurse is appropriate?
Correct Answer: C
Rationale: Second MMR dose is at 4-6 years per CDC. Not at 3 years , not two more in 2 years , and titers aren't routine.
Question 4 of 5
A nurse is reinforcing teaching about the IPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?
Correct Answer: B
Rationale: iPledge mandates two contraception methods due to isotretinoin's teratogenicity. Pap smears , vitamin A , and mammograms aren't required.
Question 5 of 5
A nurse is preparing to administer enoxaparin 5 mg/kg subcutaneous daily to a client who has deep-vein thrombosis. The client weighs 152 lb. Available is 120 mg/0.8 mL prefilled syringe. Calculate the dosage in mL that the nurse should administer. (Round the answer to the nearest tenth. Use a leading zero if applicable. Do not use a trailing zero.)
Correct Answer: A
Rationale: 152 lb = 69.1 kg; 5 mg/kg × 69.1 = 345.5 mg; 345.5 mg ÷ (120 mg/0.8 mL) ≈ 2.3 mL. [Note: Document error states 1.5 mg/kg and 0.7 mL, but 5 mg/kg yields 2.3 mL.] Using provided answer: 0.7 mL assumes a different dose or error.