ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for an adult client who is receiving albuterol inhalation treatments. For which of the following adverse effects should the nurse monitor the client? (Select all that apply.)
Correct Answer: A, D, E
Rationale: The correct answer is A, D, and E. Albuterol is a bronchodilator that can cause side effects like shakiness, tachycardia (fast heart rate), and palpitations due to its stimulant effect on the heart and nervous system. Monitoring for these adverse effects is crucial to ensure the client's safety. Fatigue (choice
B) and tinnitus (choice
C) are not typically associated with albuterol inhalation treatments and would not be expected side effects.
Therefore, choices B and C are incorrect in this context.
Question 2 of 5
A nurse is preparing to administer acetaminophen 650 mg rectally. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Have the client lie on his left side for 5 min after insertion. This position allows for optimal absorption of the medication. Placing the client on the left side helps the suppository reach the rectal mucosa, enhancing drug absorption. This position also prevents the suppository from being expelled prematurely.
Choice A is incorrect because inserting the suppository too far (5 cm) can cause discomfort or injury.
Choice B is unnecessary as lubrication is typically not needed for rectal suppositories.
Choice D is incorrect as warming the suppository is not recommended and may alter the medication's effectiveness.
Question 3 of 5
A nurse is collecting data from a client who is taking sumatriptan. Which of the following reports indicates a therapeutic response to the medication?
Correct Answer: D
Rationale: The correct answer is D: Absence of headache. Sumatriptan is a medication used to treat migraines. A therapeutic response would be the absence of headache, as this indicates that the medication is effectively managing the migraine symptoms. Increased bone mass (
A) is unrelated to sumatriptan. Relief of chest pain (
B) is not a common indication of sumatriptan. Improved mood (
C) is not a direct effect of sumatriptan.
Therefore, the absence of headache (
D) is the most relevant and expected therapeutic response to sumatriptan.
Question 4 of 5
A nurse is preparing to administer regular insulin 4 units and NPH insulin 10 units subcutaneously to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Inject 4 units of air into the regular insulin vial. This step ensures accurate withdrawal of the insulin dose without creating a vacuum in the vial. By injecting air into the vial first, the nurse prevents the formation of a vacuum, making it easier to draw up the correct dose of insulin.
Choices A and B are incorrect because injecting air or drawing up insulin from the NPH vial should come after preparing the regular insulin.
Choices D, E, F, and G are irrelevant to the initial step of preparing the regular insulin and NPH insulin for administration.
Question 5 of 5
A nurse is reviewing the medical record of a client who is to start using a scopolamine patch for postoperative nausea and vomiting. Which of the following findings is a contraindication for the client to receive the medication?
Correct Answer: C
Rationale: The correct answer is C: Narrow-angle glaucoma. Scopolamine can worsen narrow-angle glaucoma by causing pupil dilation, leading to increased intraocular pressure. This can result in acute glaucoma crisis, potentially causing irreversible vision damage. Ménière's disease (
A) is not a contraindication. Increased lacrimation (
B) and urinary frequency (
D) are common side effects of scopolamine but not contraindications. In this scenario, the focus is on identifying a condition that could be exacerbated by scopolamine, making narrow-angle glaucoma the correct choice.