ATI RN
ATI NUR 229 Pharmacology Test 1 OEK Questions
Extract:
Question 1 of 5
A client with diabetes mellitus is being admitted to the hospital for surgery. The client has been taking Glucocorticoids (Prednisone) long-term for uncontrolled COPD. Which of the following must the nurse consider when she is obtaining a health history?
Correct Answer: A,C,D
Rationale: Long-term glucocorticoids suppress adrenal function, requiring gradual tapering to avoid insufficiency. They increase infection risk by suppressing immunity and can elevate blood glucose by causing insulin resistance. Low blood pressure and increased pain are not typical concerns.
Question 2 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: Montelukast, a leukotriene receptor antagonist, reduces airway inflammation in asthma and allergic rhinitis, leading to easier breathing. It does not affect seizure threshold, muscle pain, or platelet count.
Question 3 of 5
A patient is in an urgent care center with an acute asthma attack. The nurse expects which medication will be used for initial treatment.
Correct Answer: B
Rationale: Albuterol, a short-acting beta-2 agonist, rapidly relaxes airway muscles, making it the first-line treatment for acute asthma attacks. Long-acting beta agonists, corticosteroids, and anticholinergics are not used for immediate relief.
Question 4 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: Guaifenesin is prescribed BID, meaning twice daily. Taking it with a full glass of water aids in thinning mucus.
Choice C correctly reflects the dosing frequency and administration method, indicating understanding.
Choice A is incorrect as guaifenesin promotes a productive cough.
Choice B misstates the frequency, and
Choice D incorrectly suggests reliance on a nurse for administration.
Question 5 of 5
The nurse teaches the client that the major disadvantage of antitussive therapy on Robitussin A-C is that:
Correct Answer: A
Rationale: Robitussin A-C contains codeine, an opioid antitussive that commonly causes drowsiness, impacting daily activities. Other options are not significant disadvantages.