ATI LPN
ATI PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Rotate the application sites of the patch. This is important to prevent skin irritation and tolerance to the medication. By rotating sites, the nurse ensures proper absorption and effectiveness of the medication.
Choice A is incorrect because the patch should not be removed prior to bathing as it may disrupt the medication delivery.
Choice B is incorrect as nitroglycerin is used to treat hypotension, not hypertension.
Choice D is incorrect because nitroglycerin patches are typically left on for 12-14 hours, not removed every 24 hours.
Question 2 of 5
A nurse is collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?
Correct Answer: A
Rationale:
Rationale: A sore throat is a potential adverse effect of carbamazepine due to its impact on the immune system. It can indicate a serious reaction and should be reported to the provider for further evaluation. Other options like gingivitis, urge incontinence, and increased salivation are not commonly associated with carbamazepine use. Reporting these symptoms may not be as urgent as a sore throat, which could be a sign of a more severe reaction.
Question 3 of 5
A nurse in an influenza clinic is collecting data from four clients. Which of the following clients should the nurse identify as having a contraindication for receiving the live attenuated form of the influenza vaccine?
Correct Answer: B
Rationale: The correct answer is B: A client who is at 27 weeks of gestation. Pregnant women should not receive live attenuated influenza vaccine due to theoretical risks to the fetus. Rhinitis, getting a tattoo, or traveling do not contraindicate the vaccine. Pregnant women should receive the inactivated influenza vaccine to protect themselves and their unborn child.
Question 4 of 5
A nurse is reviewing the medical record of a client who has a new prescription for celecoxib to treat osteoarthritis. Which of the following should the nurse recognize as a contraindication for this medication?
Correct Answer: A
Rationale: The correct answer is A: Sulfonamide allergy. Celecoxib is a nonsteroidal anti-inflammatory drug (NSAI
D) that is a sulfonamide derivative. Sulfonamide antibiotics and sulfonamide-containing medications like celecoxib can cross-react in individuals with a sulfonamide allergy, leading to potentially severe allergic reactions.
Choices B, C, and D are incorrect because they do not have a direct contraindication with celecoxib. Penicillin allergy does not increase the risk of an allergic reaction to celecoxib. Concurrent use of chondroitin or calcium supplements may have interactions or additive effects with celecoxib, but they are not absolute contraindications.
Question 5 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 correct answer is D. Sexually active female clients must use two forms of birth control during treatment. This is a requirement of the IPLEDGE program for isotretinoin due to its high risk of causing severe birth defects. Using two forms of birth control helps to minimize the risk of pregnancy.
Choice A is incorrect because a negative pregnancy test is required, not a mammogram.
Choice B is incorrect as Papanicolaou tests are not part of the requirements.
Choice C is incorrect as there is no need to supplement vitamin A before starting therapy with isotretinoin.