ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
0800:
Client is admitted with a 3-day history of abdominal cramps and diarrhea of 4 to 5 liquid stools per day.
Client was taking amoxicillin/clavulanate 875 mg PO every 12 hr for 10 days for a respiratory tract infection. Antibiotics completed 7 days ago.
Bilateral breath sounds clear and present throughout.
Abdomen soft, distended with hyperactive bowel sounds audible in all 4 quadrants.
Stool is watery and contains mucous. Stool sent for culture.
A nurse is assisting in the care of a female client.
Question 1 of 5
Complete the following sentence by using the lists of options: The nurse should first address the client ___ followed by the client's ___.
| blood pressure |
| Hgb level |
| temperature |
| potassium level |
| abdominal findings |
| Hct level |
Correct Answer: A,D
Rationale: The nurse should first address the client blood pressure due to hypotension from diarrhea, followed by the client's potassium level to prevent hypokalemia complications.
Extract:
Question 2 of 5
A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Cover the administration area with plastic wrap ensures absorption. Massaging risks rapid uptake, specific area isn't standard, and thick layer increases side effects.
Question 3 of 5
A nurse is caring for a child who has recurrent otitis media. The child weighs 14.9 kg (33 lb). A prescription is written for amoxicillin 40 mg/kg PO to be given in two divided doses per day. The pharmacy provides the nurse with amoxicillin 250 mg/5 mL. How many mL of the medication should the nurse plan to administer for each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 6
Rationale: 14.9 kg × 40 mg/kg = 596 mg/day; 596 mg ÷ 2 = 298 mg/dose; 298 mg ÷ (250 mg/5 mL) = 5.96 mL ≈ 6 mL per dose.
Question 4 of 5
A nurse is collecting data from a client who has gout and is taking allopurinol. Which of the following adverse effects should the nurse identify as the priority to report to the provider?
Correct Answer: A
Rationale: Rash may signal Stevens-Johnson syndrome, a life-threatening reaction, making it priority. Diarrhea, nausea, and metallic taste are milder.
Question 5 of 5
A nurse is monitoring a client's response to receiving glipizide instead of guaifenesin. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Offer the client a carbohydrate snack counters glipizide's hypoglycemia risk. Bed position, urinary retention, and reflexes aren't relevant.