ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is administering spironolactone at 0800 to a client who has heart failure. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, a key adverse effect to monitor in heart failure patients. It doesn't typically cause hypernatremia, hypophosphatemia, or hypocalcemia.
Question 2 of 5
A nurse is preparing to administer an enteric-corrected oral medication to a client who is having difficulty swallowing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing an enteric-coated medication on the tongue allows easier swallowing without damaging the coating, which protects against stomach irritation. Chewing, dissolving, or buccal placement could compromise the coating.
Question 3 of 5
A nurse in an acute care facility is collecting data from a client who has received the meningococcal conjugate vaccine. The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine?
Correct Answer: C
Rationale: Headache is a common adverse effect of the meningococcal conjugate vaccine. Blurred vision, tinnitus, and dry mouth are not typically associated with this vaccine.
Question 4 of 5
A nurse is collecting data from a client following his first dose of captopril. The client's blood pressure is 88/60 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Placing the client supine increases cerebral blood flow to counter hypotension (88/60 mm Hg) from captopril, a priority action. Standing or sitting checks could worsen symptoms, and an IV bolus is secondary.
Question 5 of 5
A nurse is reinforcing teaching with a client who is to start therapy with insulin lispro and insulin glargine. Which of the following should the nurse include in the teaching?
Correct Answer: D
Rationale: Insulin lispro, a rapid-acting insulin, is taken right before meals to control postprandial glucose spikes. Lispro and glargine shouldn't be mixed, glargine is once daily, and shaking vials risks inaccurate dosing.