ATI NUR 229 Pharmacology Test 1 OEK | Nurselytic

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ATI NUR 229 Pharmacology Test 1 OEK Questions

Question 1 of 5

A nurse is giving discharge instructions to a patient who has been ordered Guaifenesin (Mucinex) to take BID for 3 days after discharge. What response by the patient lets her know that he understands how to take his medication?

Correct Answer: C

Rationale: The correct answer is C: "I will take my medication twice a day with a full glass of water." This response indicates that the patient understands the dosing instructions of taking the medication BID (twice a day). Taking the medication with a full glass of water is also important for proper hydration and to help with the effectiveness of the medication.


Choice A is incorrect because Guaifenesin is an expectorant that helps with productive coughs, not non-productive coughs.
Choice B is incorrect because it suggests taking the medication daily, which does not align with the prescribed dosing schedule of BID.
Choice D is incorrect because it implies that the medication needs to be administered by a home health nurse, which is not the case for oral medications like Guaifenesin.

Question 2 of 5

Which type of medication is the first-line treatment for nasal congestion?

Correct Answer: A

Rationale: The correct answer is A: Nasal Glucocorticoids. Nasal glucocorticoids are the first-line treatment for nasal congestion due to their anti-inflammatory properties, which reduce swelling and congestion in the nasal passages. They are effective in treating both allergic and non-allergic rhinitis. Leukotriene modifiers (
B) are more commonly used for asthma, not nasal congestion. Decongestants (
C) provide quick relief but should not be used long-term due to potential rebound congestion. Antihistamines (
D) are more suitable for treating allergies, not congestion.

Question 3 of 5

The sympathetic nervous system postganglionic neuron releases what neurotransmitter?

Correct Answer: C

Rationale: The correct answer is C: Norepinephrine. The sympathetic postganglionic neuron releases norepinephrine, which activates adrenergic receptors on target cells. Acetylcholine is released by the preganglionic neuron in both sympathetic and parasympathetic systems, not the postganglionic neuron.
Therefore, choices A and B are incorrect. Arginine is not a neurotransmitter involved in the sympathetic nervous system, so choice D is also incorrect.

Question 4 of 5

A nurse is caring for a client who is taking montelukast. Which of the following outcomes indicates a therapeutic effect of the medication?

Correct Answer: C

Rationale: The correct answer is C: The client experiences an increased ease of breathing. Montelukast is a leukotriene receptor antagonist used to treat asthma and allergic rhinitis. The therapeutic effect of montelukast is to reduce inflammation in the airways, leading to improved breathing.
Therefore, an increased ease of breathing indicates that the medication is working as intended. Options A, B, and D are incorrect because montelukast does not affect seizure thresholds, muscle pain, or platelet count.

Question 5 of 5

Patient teaching regarding expectorants should instruct the patient to perform which action?

Correct Answer: A

Rationale: The correct answer is A. Increasing fluid intake helps to decrease the viscosity of secretions, making it easier for the patient to cough up and expel mucus. This action promotes better clearance of secretions from the lungs, which is the primary goal of expectorants.
Choice B is incorrect as expectorants are usually taken multiple times a day to maintain their effect.
Choice C is unrelated to expectorants and pertains to preventing constipation.
Choice D is incorrect as restricting fluids can lead to thicker mucus production.

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