ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving acetaminophen for mild pain. The nurse should monitor the client for which of the following adverse effects of this medication?
Correct Answer: B
Rationale: Jaundice, indicating potential liver damage, is a rare but serious adverse effect of acetaminophen overdose that the nurse should monitor for. Fever reduction is a therapeutic effect, while diarrhea and tinnitus are not typical side effects.
Question 2 of 5
A nurse is preparing to administer somatropin 0.24 mg/kg/week subcutaneously to be divided into six daily doses to a school-age child who weighs 66 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: 66 lb = 30 kg; 0.24 mg/kg/week = 7.2 mg/week; 7.2 mg / 6 doses = 1.2 mg/dose, rounded to 1.2 mg.
Question 3 of 5
A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil. Which of the following therapeutic effects should the nurse inform the family to expect?
Correct Answer: C
Rationale: Donepezil improves cognitive function in Alzheimer's disease by enhancing acetylcholine levels. It doesn't affect urinary output, pulmonary function, or seizure incidence.
Question 4 of 5
A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Covering nitroglycerin ointment with plastic wrap enhances absorption. It's applied thinly over a 6-inch area, not 10 cm², and massaging or thick application is incorrect.
Question 5 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: D
Rationale: Epoetin alfa stimulates red blood cell production, so hemoglobin (Hgb) levels are monitored to assess its effectiveness. AST assesses liver function, troponin indicates heart damage, and T4 measures thyroid function, none of which relate to epoetin alfa's purpose.