ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Nurses' Notes
Medication Reconciliation
Medicine Prescriptions
1 week ago:
Client who was diagnosed with asthma during childhood presents to the clinic with increased night-time coughing and shortness of breath during activities of daily living. The client reports increased use of their rescue inhaler. The client has a non-productive cough and inspiratory and expiratory wheezing heard during auscultation. Client prescribed prednisone and requested to follow up in 5 to 7 days.
Today:
The client reports their asthma symptoms have improved since beginning the prednisone. Lung sounds clear with occasional wheezing. The client has gained 1.36 kg (3 lb) since the last visit. The client states they received the "flu shot" 3 days ago to avoid getting sick. The client states they hurt their back while moving the couch 5 days ago and have been taking ibuprofen twice daily since then.
Question 1 of 5
Complete the following sentence by using the lists of options: The client is most at risk for developing ___ due to their ___.
| Cushing syndrome |
| influenza |
| peptic ulcers |
| NSAID use |
| recent immunization |
| weight gain |
Correct Answer: C,D
Rationale: The client is most at risk for developing peptic ulcers due to their NSAID use with prednisone, both impairing stomach lining protection.
Extract:
Question 2 of 5
A nurse is reinforcing teaching about fluticasone topical lotion with the parent of a 9-month-old infant who has atopic dermatitis on the wrist. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Rub the medication until it disappears.' ensures proper absorption without excess. Thick layers risk systemic effects, occlusion increases absorption dangerously, and entire arm is unnecessary.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for alendronate for the treatment of osteoporosis. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: B
Rationale: Jaw pain may indicate osteonecrosis, a serious alendronate risk. Anorexia, insomnia, and bruising aren't typical.
Question 4 of 5
A nurse is collecting data from a client before administering a hepatitis B immunization. The nurse should withhold the immunization if the client is allergic to which of the following substances?
Correct Answer: A
Rationale: Baker's yeast is a contraindication as hepatitis B vaccine is produced with it, risking allergic reaction. Nuts, wheat, and egg yolk are unrelated to its production.
Question 5 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.