ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who has heart failure and a prescription for a repeat dose of furosemide 40 mg orally. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Reviewing electrolyte levels is the priority before giving furosemide, a diuretic that can cause imbalances (e.g., hypokalemia), especially in heart failure patients. Other actions follow this safety check.
Question 2 of 5
A nurse is administering spironolactone at 0800 to a client who has heart failure. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, a key adverse effect to monitor in heart failure patients. It doesn't typically cause hypernatremia, hypophosphatemia, or hypocalcemia.
Question 3 of 5
A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Renal excretion slows with age, increasing drug levels and side effect risks in older adults. Hepatic metabolism slows (not speeds), brain sensitivity varies, and gastric emptying decreases.
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: A
Rationale: Levalbuterol, a short-acting bronchodilator, provides rapid relief in acute asthma attacks. Cromolyn and budesonide are for prevention, and ipratropium is less commonly the first choice.
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: 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.