ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 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: C
Rationale: T4 is a thyroid hormone, and monitoring it is not relevant for assessing the effectiveness of epoetin alfa. Troponin is a marker for cardiac injury and is not relevant for assessing the effectiveness of epoetin alfa. Epoetin alfa stimulates the production of red blood cells, so monitoring hemoglobin levels is crucial to assess its effectiveness. AST is a liver enzyme and is not relevant for assessing the effectiveness of epoetin alfa.
Question 2 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. The nurse should expect to administer which of the following medications?
Correct Answer: D
Rationale: Budesonide is an inhaled corticosteroid used for long-term control of asthma and is not typically used for acute attacks. Cromolyn is a mast cell stabilizer used for the prevention of asthma symptoms and is not a rescue medication for acute attacks. Ipratropium is an anticholinergic bronchodilator used for maintenance treatment of bronchospasms and is not typically used for acute attacks. Levalbuterol is a short-acting beta-agonist bronchodilator and is commonly used as a rescue medication for acute asthma attacks.
Question 3 of 5
A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which of the following is an expected therapeutic effect of this medication?
Correct Answer: D
Rationale: Montelukast is not associated with an increase in white blood cell count. Montelukast primarily acts as a leukotriene receptor antagonist, targeting inflammation in the airways, and does not affect peripheral vasodilation. Montelukast is not used for gastric acid neutralization; it is indicated for the treatment of respiratory conditions like asthma. Montelukast is known for its anti-inflammatory effects on the airways, reducing bronchial inflammation and improving symptoms in conditions like asthma.
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: B
Rationale: Constipation is a common side effect of opioids but not an immediate concern. Respiratory depression is a severe side effect of morphine and requires immediate attention. Facial flushing is a common side effect of opioids but is not immediately concerning. While low blood pressure may be a concern, respiratory rate is a more critical indicator of potential life-threatening complications.
Question 5 of 5
A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa. Which of the following statements made by the client's family indicates an understanding of the teaching?
Correct Answer: B
Rationale: Eating a lot of protein can interfere with the absorption of levodopa, so this statement is incorrect. Levodopa/carbidopa can cause dyskinesias or involuntary movements, so monitoring for this is essential. Levodopa does not cure Parkinson's disease or prevent its progression; it helps manage symptoms. While levodopa can improve symptoms, the onset of action is not typically rapid, and it may take some time for optimal effect.