ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 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 2 of 5
A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil. Which of the following therapeutic effects should the nurse inform the family to expect?
Correct Answer: A
Rationale: Donepezil is used to treat Alzheimer's disease and is expected to improve cognitive function. Donepezil is not indicated for pulmonary function improvement. Donepezil is not primarily used for seizure control. Donepezil does not typically affect urinary output.
Question 3 of 5
A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?
Correct Answer: D
Rationale: Anorexia is not typically associated with benzodiazepine withdrawal. Hypotension is not a common withdrawal symptom of diazepam. Drowsiness is more likely a side effect of benzodiazepine use rather than withdrawal. Tremors are a common manifestation of benzodiazepine withdrawal.
Question 4 of 5
A nurse is reviewing data for a client who receives clonidine daily. Which of the following findings indicates the nurse should withhold the next dose?
Correct Answer: C
Rationale: Clonidine primarily affects blood pressure and not heart rate. Clonidine does not directly affect urine output. Clonidine is an antihypertensive medication, and a low blood pressure reading indicates the need to withhold the next dose. Clonidine does not typically affect blood glucose levels.
Question 5 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: A
Rationale: The first action is to place the client in a supine position. The client might experience a first-dose phenomenon, which is a sudden and severe drop in blood pressure within 1 to 3 hours of taking the medication. The nurse should place the client in a supine position to prevent orthostatic hypotension and syncope. This should be done after placing the client in a supine position to assess for postural changes. This should be done after placing the client in a supine position to assess for postural changes. The nurse should not administer a saline bolus unless prescribed by the provider, as this could cause fluid overload and worsen heart failure.