ATI LPN
ATI PN Custom Cohert 6 Pharmacology Quiz 2 Questions
Question 1 of 5
A nurse is preparing to administer enteric-coated aspirin to an older adult client who had a cerebrovascular accident and has difficulty swallowing medications. The client asks the nurse if she will crush the medication to make it easier to swallow. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "That would release all the medication at once, rather than over time." Enteric-coated aspirin is designed to dissolve in the small intestine, not in the stomach. Crushing it would bypass this mechanism, leading to rapid release and potential for gastric irritation. Option A is incorrect because stomach ache or indigestion is not the primary concern with crushing enteric-coated aspirin. Option B is incorrect as it suggests an inappropriate method of administration. Option D is incorrect as stomach acid inactivating medication is not the primary reason not to crush enteric-coated aspirin. The correct response educates the client on the importance of the medication's controlled-release formulation.
Question 2 of 5
A nurse is reinforcing teaching to a school-age child who has asthma. Which of the following medications should the nurse instruct the child to use to abort an ongoing attack?
Correct Answer: D
Rationale: The correct answer is D: Albuterol. Albuterol is a short-acting bronchodilator that works quickly to open up the airways during an asthma attack, providing immediate relief by relaxing the muscles around the airways. Montelukast (
A) is a leukotriene receptor antagonist used for long-term control, not immediate relief. Fluticasone (
B) is an inhaled corticosteroid for long-term control of asthma symptoms. Cromolyn (
C) is a mast cell stabilizer used for prevention, not for aborting an ongoing attack.
Question 3 of 5
A nurse is caring for a client who is receiving furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client?
Correct Answer: C
Rationale: The correct answer is C: Serum potassium. Furosemide is a loop diuretic that can cause potassium depletion, leading to hypokalemia. Monitoring serum potassium levels is crucial to prevent complications such as cardiac arrhythmias. Serum cholesterol (
A), serum amylase (
B), and serum triglyceride (
D) are not directly affected by furosemide use for heart failure.
Therefore, they are not the priority values to monitor in this situation.
Question 4 of 5
A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Inform the provider of the client's potassium level. A potassium level of 5.8 mEq/L is elevated (normal range is 3.5-5.0 mEq/L), indicating hyperkalemia. The nurse should notify the provider to reevaluate the need for potassium chloride administration due to the risk of further increasing the potassium level, which can lead to serious cardiac complications. Holding the medication (
B) may not be sufficient without provider input. Giving the medication as prescribed (
C) can worsen hyperkalemia. Increasing the dosage without guidance (
D) is unsafe.
Question 5 of 5
A nurse is preparing to administer eardrops to a 2-year-old child. The nurse should pull the auricle in which of the following directions when instilling the medication?
Correct Answer: C
Rationale: The correct answer is C: Down and backward. Pulling the auricle down and backward in a child under 3 years old straightens the ear canal, allowing the eardrops to reach the eardrum effectively. This technique ensures proper administration and absorption of the medication.
Choice A (Upward and outward) may cause the eardrops to be directed away from the ear canal.
Choice B (Down and outward) may not straighten the ear canal enough for proper medication delivery.
Choice D (Upward and backward) is incorrect as it can cause discomfort and difficulty in reaching the eardrum.