ATI PN Pharmacology 2023

Extract:

Question 1 of 5

A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?

A. CarbamazepineB. DisulfiramC. AtenololD. Lorazepam

Correct Answer: B

Rationale: Disulfiram causes aversive symptoms with alcohol intake, supporting abstinence. Others don't work via aversion.

Question 2 of 5

A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which of the following is an expected therapeutic effect of this medication?

A. Neutralized gastric acidB. Improved peripheral vasodilationC. Increased WBC countD. Reduced bronchial inflammation

Correct Answer: D

Rationale: Montelukast reduces bronchial inflammation by blocking leukotrienes, aiding asthma control. It doesn't affect gastric acid, vasodilation, or WBC count.

Question 3 of 5

A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?

A. I will take the medication every 10 minutes until the pain goes away.B. I understand that the medication can slow my heart rate.C. I should feel the effects of the medication within 5 minutes.D. I am going to take the medication with food.

Correct Answer: C

Rationale: Sublingual nitroglycerin acts within 1-5 minutes. It's taken every 5 minutes (max 3 doses), doesn't slow heart rate, and food delays absorption.

Question 4 of 5

A nurse is reinforcing teaching about the IPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?

A. Female clients must have a negative mammogram prior to beginning therapy.B. Clients must have a Papanicolaou test every 6 months during treatment.C. Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy.D. Sexually active female clients must use two forms of birth control during treatment.

Correct Answer: D

Rationale: iPledge requires two contraception methods for sexually active females due to isotretinoin's teratogenicity. Others aren't requirements.

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?

A. TachycardiaB. TachypneaC. SedationD. Dilated pupils

Correct Answer: C

Rationale: Oxycodone overdose causes sedation due to CNS depression. It typically leads to bradycardia, bradypnea, and pinpoint pupils, not tachycardia, tachypnea, or dilated pupils.