ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative. For which of the following findings should the nurse administer ondansetron?
Correct Answer: A
Rationale: The correct answer is A. Ondansetron is an antiemetic used to treat nausea and vomiting. In a postoperative client reporting nausea, administering ondansetron can help alleviate the symptom.
Choices B, C, and D do not indicate a need for ondansetron. Incisional pain (
B) would require analgesics, not ondansetron. A respiratory rate of 14/min (
C) within normal range doesn't require ondansetron. A blood pressure of 110/72 mm Hg (
D) is normal and doesn't necessitate ondansetron.
Question 2 of 5
A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Sedation. Oxycodone is an opioid that can cause central nervous system depression, leading to sedation or drowsiness. Tachypnea (
A) and tachycardia (
D) are more commonly associated with opioid withdrawal or overdose. Dilated pupils (
C) are more indicative of stimulant use or sympathetic nervous system activation. In oxycodone toxicity, the client is more likely to have pinpoint pupils due to the opioid's effects on the parasympathetic nervous system.
Question 3 of 5
A nurse is reinforcing teaching with a client who has motion sickness and a new prescription for a transdermal patch of scopolamine. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Drowsiness. Scopolamine, a common medication for motion sickness, can cause drowsiness as a side effect. The nurse should instruct the client to monitor for this adverse effect because it can affect their alertness and ability to operate machinery safely. Diarrhea (
A), bruising (
B), and jaundice (
C) are not typically associated with scopolamine use for motion sickness.
Therefore, they are incorrect choices.
Question 4 of 5
A nurse is caring for a client who has Graves' disease and is to start therapy with propylthiouracil. The nurse should expect which of the following outcomes?
Correct Answer: A
Rationale: The correct answer is A: Decreased heart rate. Propylthiouracil is an antithyroid medication that inhibits the synthesis of thyroid hormones. In Graves' disease, there is excessive production of thyroid hormones leading to symptoms like tachycardia. By decreasing the levels of thyroid hormones, propylthiouracil can help normalize the heart rate. Decreased WBC count (
B) and increased Hgb (
C) are not expected outcomes of propylthiouracil therapy. Increased blood pressure (
D) is not a direct effect of propylthiouracil in treating Graves' disease.
Question 5 of 5
A nurse is caring for a client who had abdominal surgery. The client is grimacing and has a respiratory rate of 24/min. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the client's current level of pain. The nurse should prioritize assessing the client's pain as grimacing and increased respiratory rate can indicate pain. By assessing the pain level first, the nurse can address the client's immediate needs and provide appropriate pain relief interventions. Option B is incorrect as distraction may not address the underlying cause of the client's discomfort. Option C is also incorrect as repositioning may not alleviate pain. Option D is incorrect as a cold compress may not be the appropriate intervention without assessing the cause of the pain first.