ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Nurses’ notes
Vital Signs
Medication Administration Record
Client reports tightness in the chest that radiates to the left arm. States pain as 7 on a scale of 0 to 10. Client is diaphoretic and short of breath.
Question 1 of 5
Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.
Correct Answer: A,B,D
Rationale: Nitroglycerin patches may cause dizziness, managed by lying down with feet elevated ; require hairless skin for adhesion ; and need removal after 12-14 hours to prevent tolerance . Onset is slower than 30-45 min , headaches are managed with analgesics not removal (E), and sites should rotate (F).
Extract:
Question 2 of 5
A nurse is evaluating the laboratory results of four clients. The nurse should report which of the following laboratory results to the provider?
Correct Answer: A
Rationale: aPTT of 90 seconds is too high (therapeutic 60-80), risking bleeding. INR 2.0 and 3.0 are therapeutic, and aPTT 65 is within range.
Question 3 of 5
A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?
Correct Answer: C
Rationale: Carbamazepine is the first-line treatment for trigeminal neuralgia, stabilizing nerve membranes to reduce pain. Lorazepam , Fluoxetine , and Methylphenidate are not indicated.
Question 4 of 5
A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Oxycodone toxicity causes sedation due to CNS depression, with bradycardia, pinpoint pupils, and respiratory depression, not tachycardia , dilated pupils , or tachypnea .
Question 5 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg PO every 6 hr to a toddler who weighs 26.4 lb. Available is acetaminophen 80 mg/0.8 mL liquid. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: 26.4 lb = 12 kg; 10 mg/kg × 12 = 120 mg; 120 mg ÷ (80 mg/0.8 mL) = 1.2 mL.