ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse in a provider's office is collecting data from a client who continues to have a migraine headache after taking sumatriptan orally 2 hr ago. Which of the following findings is the priority for the nurse to report?
Correct Answer: B
Rationale: The correct answer is B: Hypertension. The nurse should prioritize reporting hypertension because sumatriptan, a medication used to treat migraines, can potentially cause a rare but serious side effect of increasing blood pressure. Hypertension could lead to severe complications such as stroke or heart attack. Reporting this finding promptly allows for appropriate intervention.
Other choices are less concerning: A (tingling sensation) and C (flushing) are common side effects of sumatriptan, while D (dizziness) is a less urgent symptom compared to hypertension in this context.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for naproxen. Which of the following is a potential adverse effect that the nurse should instruct the client to report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Black, tarry stools. This is a potential adverse effect of naproxen due to gastrointestinal bleeding. The nurse should instruct the client to report this to the provider immediately as it could indicate a serious issue. Increased energy levels (
A) are not typically a side effect of naproxen. Improved appetite (
C) and mild headache (
D) are common side effects that do not require immediate reporting.
Question 3 of 5
A nurse is reinforcing teaching with a young adult client who has a new prescription for ear drops. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Pull the pinna up and back to administer medication. This technique helps straighten the ear canal for proper administration of the drops. Pulling the pinna up and back in adults helps to open the ear canal and ensure the drops reach the eardrum effectively.
Choice A is incorrect as chilling ear drops can cause discomfort.
Choice B is incorrect as pressing a cotton ball can prevent the drops from reaching the eardrum.
Choice D is incorrect as placing an applicator into the ear canal can cause injury.
Question 4 of 5
A nurse is caring for an adult client who is receiving albuterol inhalation treatments. For which of the following adverse effects should the nurse monitor the client? (Select all that apply.)
Correct Answer: A, D, E
Rationale: The correct answer is A, D, and E. Albuterol is a bronchodilator that can cause side effects like shakiness, tachycardia (fast heart rate), and palpitations due to its stimulant effect on the heart and nervous system. Monitoring for these adverse effects is crucial to ensure the client's safety. Fatigue (choice
B) and tinnitus (choice
C) are not typically associated with albuterol inhalation treatments and would not be expected side effects.
Therefore, choices B and C are incorrect in this context.
Question 5 of 5
A nurse is caring for a client who has been taking epoetin alfa for 3 months. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
Correct Answer: A
Rationale: The correct answer is A: Hgb (hemoglobin). Epoetin alfa is a medication used to treat anemia by stimulating red blood cell production. Monitoring the hemoglobin levels helps determine the effectiveness of the medication in increasing red blood cells. Hemoglobin reflects the oxygen-carrying capacity of the blood, so an increase in hemoglobin levels indicates a positive response to the medication. Troponin (
B) is a marker for heart damage, unrelated to epoetin alfa. Thyroxine (
C) and AST (
D) are not relevant to monitoring the effectiveness of epoetin alfa.