ATI RN
ATI NUR 229 Pharmacology Test 1 OEK Questions
Extract:
Question 1 of 5
A 26-year-old female is brought to the emergency department while having an asthma attack. She is given a nebulizer treatment with the medication albuterol. The nurse's immediate assessment priority would be to
Correct Answer: C
Rationale: During an asthma attack, assessing respiratory rate and oxygen saturation (SpO2) is critical to evaluate the effectiveness of albuterol and ensure adequate oxygenation. Other assessments are secondary.
Question 2 of 5
A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?
Correct Answer: C
Rationale: Acetaminophen can cause liver toxicity, with jaundice as a key symptom. Tinnitus, hyperglycemia, and muscle pain are not typical adverse effects.
Question 3 of 5
Client teaching regarding the use of leukotriene receptor antagonist (LTRAS) drug such as Montelukast (Singulair) would include which statement by the nurse?
Correct Answer: D
Rationale: Montelukast blocks leukotrienes, preventing airway inflammation and asthma attacks. It's for maintenance, not acute symptoms, and doesn't typically cause constipation or take weeks for effect.
Question 4 of 5
A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider?
Correct Answer: C
Rationale: Fluticasone, a corticosteroid, can cause oral thrush, presenting as a white coating in the mouth, which requires reporting. Increased appetite, dry mouth, and sedation are not typical adverse effects.
Question 5 of 5
A patient complains of worsening nasal congestion despite the use of oxymetazoline (Afrin) nasal spray every 2 to 4 hours for the past 5 days. The nurse's response is based on the knowledge that
Correct Answer: C
Rationale: Prolonged use of oxymetazoline can cause rebound congestion (rhinitis medicamentosa), worsening symptoms due to nasal vessel dependence. Other options misrepresent its use or effects.