ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide. The client reports feeling anxious and having profuse sweating. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: This is associated with hypocalcemia, not glyburide use. This is not a typical finding related to glyburide use. Edema is not a common side effect of glyburide. Hypoglycemia, indicated by symptoms such as anxiety and sweating, can result from glyburide use.
Question 2 of 5
A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
Correct Answer: A
Rationale: Only the client should operate the PCA pump to ensure self-administration within prescribed limits. Pain assessment should be more frequent, and the client's pain level should be assessed as needed, not on a fixed schedule. Morphine PCA allows the client to self-administer a predetermined dose, minimizing the risk of overdose or toxicity. Constipation, not diarrhea, is a common adverse effect of opioid medications, including morphine.
Question 3 of 5
A nurse is talking with a client who has been taking levothyroxine to treat hypothyroidism. The nurse should instruct the client to avoid taking which of the following over-the-counter medications within 4 hr of taking levothyroxine?
Correct Answer: A
Rationale: Calcium can interfere with the absorption of levothyroxine, so they should be taken separately. These do not interfere significantly with levothyroxine absorption. Fish oil supplements do not interfere significantly with levothyroxine absorption. Antihistamines do not interfere significantly with levothyroxine absorption.
Question 4 of 5
A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?
Correct Answer: B
Rationale: Diphenhydramine is an antihistamine and is not indicated for treating dizziness and lightheadedness associated with ramipril. Dizziness and lightheadedness may be indicative of hypotension, and an IV fluid bolus can help increase blood pressure. Naloxone is used to reverse opioid overdose and is not indicated for the symptoms described. Carbohydrates are not typically used to address dizziness and lightheadedness associated with antihypertensive medications.
Question 5 of 5
A nurse is caring for a client who is receiving acetaminophen for mild pain. The nurse should monitor the client for which of the following adverse effects of this medication?
Correct Answer: A
Rationale: Acetaminophen can cause liver damage, and jaundice is a sign of hepatic injury. Monitoring for jaundice is essential. Acetaminophen is an antipyretic, and fever is not an adverse effect but rather an intended therapeutic effect. Diarrhea is not a common adverse effect of acetaminophen. Tinnitus is not typically associated with acetaminophen use.