ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Vital Signs
Nurses Notes
History and Physical
Initial visit:
Temperature 36.5° C (97.7° F)
Heart rate 68/min
Blood pressure 116/70 mm Hg
Respiratory rate 16/min
SpO2 98% on room air
Follow-up visit 2 weeks later:
Temperature 36.7° C (98.1°F)
Heart rate 86/min
Blood pressure 130/80 mm Hg
Respiratory rate 18/min
SpO2 99% on room air
Question 1 of 5
Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication (sumatriptan).
Correct Answer: A,B,C,E,F,G
Rationale: For sumatriptan: Max 200 mg/day, second dose after 2 hr, stop if pregnant, chest pressure, fatigue, relief within 1 hr are correct. Rash isn't common.
Extract:
Question 2 of 5
A nurse is preparing to administer enoxaparin 5,000 units subcutaneous to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Insert the needle at a 45° or 90° angle is correct for subcutaneous enoxaparin based on tissue depth. Taut skin is wrong pinch instead, massaging risks bleeding, and 4 cm needle is too long.
Question 3 of 5
A nurse is collecting data from a client who is taking dimenhydrinate to treat motion sickness. Which of the following findings is an adverse effect of this medication?
Correct Answer: A
Rationale: Drowsiness is a common antihistamine effect of dimenhydrinate. Hypertension, polyuria, and edema aren't typical.
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 4 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:
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 5 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.