ATI LPN
ATI PN Pharmacology 2020 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: A
Rationale: An IV fluid bolus can raise blood pressure and relieve dizziness/lightheadedness, common with ramipril's first dose due to vasodilation. Naloxone, diphenhydramine, and carbohydrates address unrelated issues (opioid overdose, allergies, hypoglycemia).
Question 2 of 5
A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?
Correct Answer: D
Rationale: The iPLEDGE program requires sexually active female clients to use two forms of birth control due to isotretinoin's severe teratogenic effects. Mammograms, Pap tests, and vitamin A supplements are not part of this program's requirements.
Question 3 of 5
A nurse is reinforcing teaching about the varicella vaccine with the guardian of a toddler. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The varicella vaccine is contraindicated in immunocompromised children (e.g., leukemia) due to live virus risks. It's given at 12-15 months, aspirin risks Reye's syndrome, and egg allergy isn't a contraindication.
Question 4 of 5
A nurse is assisting in the care of a client who is receiving morphine via a continuous epidural infusion. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: A respiratory rate of 10/min indicates respiratory depression, a serious and potentially life-threatening side effect of morphine requiring immediate reporting. Facial flushing and constipation are common but less urgent, and hypotension, while concerning, is not as immediately critical as respiratory depression.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for fexofenadine tablets to treat seasonal allergies. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Fexofenadine may cause dizziness or drowsiness, so avoiding driving until effects are known is prudent. Magnesium hydroxide has no specific interaction, fluid intake isn't restricted to 1 liter, and orange juice reduces absorption.