ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 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: D
Rationale: It is premature to change medications after only 6 days, as antidepressants may take several weeks to show therapeutic effects. Dose adjustments should be done cautiously, and waiting for the full therapeutic effect is important before making changes. Administration instructions do not significantly impact the speed of therapeutic effects. This is the correct answer because amitriptyline is a tricyclic antidepressant that takes 2 to 4 weeks to reach its full effect.
Question 2 of 5
A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The needle size may be appropriate, but the Z-track technique should be used to prevent leakage of the medication into subcutaneous tissue. The site may be appropriate, but the Z-track technique should be used. Aspiration is necessary to ensure the needle is not in a blood vessel before injecting the medication. The Z-track technique helps prevent the medication from leaking into subcutaneous tissue.
Question 3 of 5
A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide. The client reports feeling anxious and having profuse sweating. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: This is associated with hypocalcemia, not glyburide use. This is not a typical finding related to glyburide use. Edema is not a common side effect of glyburide. Hypoglycemia, indicated by symptoms such as anxiety and sweating, can result from glyburide use.
Question 4 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. The nurse should expect to administer which of the following medications?
Correct Answer: D
Rationale: Budesonide is an inhaled corticosteroid used for long-term control of asthma and is not typically used for acute attacks. Cromolyn is a mast cell stabilizer used for the prevention of asthma symptoms and is not a rescue medication for acute attacks. Ipratropium is an anticholinergic bronchodilator used for maintenance treatment of bronchospasms and is not typically used for acute attacks. Levalbuterol is a short-acting beta-agonist bronchodilator and is commonly used as a rescue medication for acute asthma attacks.
Question 5 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: A
Rationale: This helps to enhance absorption and prevent the ointment from being rubbed off onto clothing. The ointment should not be massaged, as this can alter absorption and effectiveness. The prescribed dose and area for nitroglycerin ointment application should be specific to the individual's prescription; a larger area is not necessary. A thin layer is recommended to ensure accurate dosing and absorption.