ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following arthroscopy and reports a pain level of 6 on a scale of 0 to 10 after receiving ketorolac 1 hr ago. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: While ketorolac has a dosing schedule, addressing uncontrolled pain takes priority, and alternative pain management may be necessary. The client's reported pain level should be addressed first, and making judgments about drug-seeking behaviors is not appropriate without further assessment. Rectal administration may not provide rapid relief, and addressing the immediate pain concern is important. This action addresses the client's reported pain level effectively.
Question 2 of 5
A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?
Correct Answer: B
Rationale: Diphenhydramine is an antihistamine and is not indicated for treating dizziness and lightheadedness associated with ramipril. Dizziness and lightheadedness may be indicative of hypotension, and an IV fluid bolus can help increase blood pressure. Naloxone is used to reverse opioid overdose and is not indicated for the symptoms described. Carbohydrates are not typically used to address dizziness and lightheadedness associated with antihypertensive medications.
Question 3 of 5
A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Rinsing the mouth out after each dose is necessary for inhaled corticosteroids, not oral ones, to prevent oral thrush and other infections. Prednisone is typically taken with food to minimize gastrointestinal irritation. Prednisone is a corticosteroid that can cause bone loss and osteoporosis when used for long-term management of chronic asthma.
Therefore, the client should take a calcium supplement to prevent or reduce the risk of these complications. Weight gain, rather than weight loss, is a common side effect of prednisone use.
Question 4 of 5
A nurse is preparing to identify a client prior to medication administration. Which of the following questions should the nurse ask to determine the client's identity?
Correct Answer: C
Rationale: Are you 65 years of age? is incorrect. Age alone is not a reliable method for identifying a client and could be misleading. Can you tell me your room number? is incorrect. Room numbers can be shared by multiple patients and are not a reliable identifier for medication administration. Is your name Sarah Jones? is correct. This question confirms the client's identity by using a personal identifier (name), which should match the information in the medical record. What is your home phone number? is incorrect. While a phone number could be used for identification, it is not typically used in a healthcare setting for confirming identity prior to medication administration. It is also not as accurate as confirming the client's name.
Question 5 of 5
A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The nurse should expect sedation as a finding in a client who has taken an overdose of oxycodone, as this medication can cause respiratory depression, drowsiness, and coma in high doses. Opioid overdose typically leads to bradycardia, not tachycardia. Opioid overdose can cause miosis (constricted pupils), not dilated pupils. Opioid overdose can result in respiratory depression, leading to bradypnea rather than tachypnea.