ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is immunosuppressed. The nurse should identify that which of following immunizations is contraindicated for this client?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Varicella vaccine contains live attenuated virus which can cause infection in immunosuppressed individuals. This can lead to serious complications. Pneumococcal, Meningococcal, and Inactivated influenza vaccines are all safe for immunosuppressed individuals as they do not contain live viruses. These vaccines help protect against bacterial or inactivated viral infections without posing a risk of causing the disease in immunosuppressed individuals.
Question 2 of 5
A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "You will need to wait a couple of weeks to feel the therapeutic effect of the medication." Amitriptyline, a tricyclic antidepressant, typically takes around 2-4 weeks for its full therapeutic effects to be felt. It is important for the nurse to educate the client on the delayed onset of action to manage expectations. Informing the client to wait before expecting improvement is crucial in ensuring compliance with the medication regimen.
Option A is incorrect because it is premature to switch medications without giving amitriptyline enough time to work. Option B is incorrect as there is no specific requirement to take amitriptyline on an empty stomach. Option D is incorrect as increasing the dose without allowing sufficient time for the current dose to take effect may lead to unnecessary side effects.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will take this medication right before I go to bed." Alendronate should be taken on an empty stomach in the morning with a full glass of water, then the patient should remain upright for at least 30 minutes after taking it to prevent esophageal irritation and optimize absorption. Taking it before bed increases the risk of esophageal issues.
Choices A, B, and D are incorrect because drinking orange juice, remaining seated for 30 minutes, and taking the medication just once a month do not align with the correct administration instructions for alendronate.
Question 4 of 5
A nurse is preparing to administer regular insulin 4 units and NPH insulin 10 units subcutaneously to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Inject 4 units of air into the regular insulin vial. This step ensures accurate withdrawal of the insulin dose without creating a vacuum in the vial. By injecting air into the vial first, the nurse prevents the formation of a vacuum, making it easier to draw up the correct dose of insulin.
Choices A and B are incorrect because injecting air or drawing up insulin from the NPH vial should come after preparing the regular insulin.
Choices D, E, F, and G are irrelevant to the initial step of preparing the regular insulin and NPH insulin for administration.
Question 5 of 5
A nurse is reviewing the allergies of a client who has rheumatoid arthritis prior to administering celecoxib to the client. The nurse should identify that which of the following allergies is a contraindication for receiving this medication?
Correct Answer: A
Rationale: The correct answer is A: Sulfonamides. Celecoxib is a nonsteroidal anti-inflammatory drug (NSAI
D) that belongs to the sulfonamide class. Patients with a known allergy to sulfonamides should not receive celecoxib due to the risk of an allergic reaction. Sulfonamide allergies can manifest as severe skin reactions, such as Stevens-Johnson syndrome or toxic epidermal necrolysis, which can be life-threatening. It is crucial for the nurse to identify this allergy as a contraindication to prevent adverse reactions.
Incorrect choices:
B: Shellfish - Shellfish allergy is not directly related to sulfonamide drugs like celecoxib.
C: Fluoroquinolones - Fluoroquinolones are antibiotics and not related to celecoxib.
D: Peanuts - Peanut allergy is not associated with sulfonamide drugs like celecoxib.