ATI LPN
ATI PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?
Correct Answer: A
Rationale: Hydrochlorothiazide can cause electrolyte imbalances (e.g., hypokalemia). Thyroid, coagulation, and CBC aren't directly affected.
Extract:
Nurses Notes
2 days ago:
Client presented to the emergency department with reports of chest pain after shoveling snow. Cardiac work-up was normal. Client diagnosed with angina related to physical activity and told to follow up with their primary care provider.
Today:
Client presents to the office for a follow-up with the provider for diagnosis of angina. Client reports experiencing angina again following a large meal yesterday. Provider prescribed nitroglycerin patch. Reinforced teaching with the client about their new prescription.
Question 2 of 5
Nurses Notes 2 days ago: Client presented to the emergency department with reports of chest pain after shoveling snow. Cardiac work-up was normal. Client diagnosed with angina related to physical activity and told to follow up with their primary care provider. Today: Client presents to the office for a follow-up with the provider for diagnosis of angina. Client reports experiencing angina again following a large meal yesterday. Provider prescribed nitroglycerin patch. Reinforced teaching with the client about their new prescription. Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Headache prompts removal, dizziness requires lying down, onset is 30-45 min, apply to hairless skin, remove after 12-14 hr to prevent tolerance. Same site daily risks irritation.
Extract:
Question 3 of 5
A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Aging reduces renal function, slowing drug excretion and increasing toxicity risk. Brain receptor sensitivity varies, gastric emptying slows, and hepatic metabolism decreases.
Question 4 of 5
A nurse is preparing to administer 0800 medications to a client. The medication administration record (MAR) states 'phenobarbital' and the medication the pharmacy supplied is pentobarbital. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Verifying the prescription clarifies the discrepancy between phenobarbital and pentobarbital, ensuring safety. Allergies, past intake, or MAR history don't directly resolve this.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina. The nurse should inform the client that which of the following manifestations is an adverse effect of the medication?
Correct Answer: B
Rationale: Headache is a common nitroglycerin side effect due to vasodilation. Tinnitus, hypertension, and polyuria aren't typical.