ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
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.
Question 1 of 5
The nurse should first address the client's ___ followed by the client's ___. (Options: Hgb level, Blood pressure, temperature, Hct level, abdominal findings, potassium level)
Correct Answer: B,F
Rationale: The client's blood pressure of 80/46 mm Hg indicates hypotension, likely due to dehydration from persistent diarrhea, requiring immediate attention. Next, the low potassium level (3.1 mEq/L) from diarrhea needs addressing to prevent arrhythmias.
Extract:
Question 2 of 5
A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?
Correct Answer: D
Rationale: Sublingual nitroglycerin acts within 1-5 minutes. It doesn't slow heart rate , food delays absorption , and dosing is every 5 minutes, not 10 .
Question 3 of 5
A nurse is preparing to administer 0800 medications to a client. The medication administration record (MAR) states 'phenobarbital' and the medication the pharmacy supplied is pentobarbital. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Verifying the prescription resolves the discrepancy safely. Past MAR , client recall , and allergies don't confirm the order.
Question 4 of 5
A nurse is assisting in the care of a client admitted for an acetaminophen overdose. Which of the following prescriptions should the nurse anticipate implementing?
Correct Answer: D
Rationale: Acetylcysteine is the antidote for acetaminophen overdose, preventing liver damage. Naloxone , amylase/lipase , and x-ray aren't relevant.
Question 5 of 5
A nurse is caring for a client who is receiving an oral solution of codeine to suppress a nonproductive cough. Which of the following is the nurse's data collection priority following administration of this medication?
Correct Answer: B
Rationale: Codeine, an opioid, can cause respiratory depression; monitoring respiratory rate is priority over heart rate , BP , or consciousness .