ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a new prescription for amoxicillin. Which of the following findings indicates that the client is having an allergic reaction to the medication?
Correct Answer: A
Rationale: Wheezing suggests an allergic reaction (e.g., bronchospasm) to amoxicillin, a penicillin. Bradycardia, polyuria, and bruising are not typical allergic response signs.
Question 2 of 5
A nurse is reinforcing teaching with a client who is to start therapy with insulin lispro and insulin glargine. Which of the following should the nurse include in the teaching?
Correct Answer: D
Rationale: Insulin lispro, a rapid-acting insulin, is taken right before meals to control postprandial glucose spikes. Lispro and glargine shouldn't be mixed, glargine is once daily, and shaking vials risks inaccurate dosing.
Question 3 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 4 of 5
A nurse is preparing to administer digoxin to a client. For which of the following findings should the nurse withhold the medication?
Correct Answer: A
Rationale: An apical pulse of 54/min is below the adult threshold of 60 bpm, indicating a risk of bradycardia with digoxin, which slows heart rate. Other findings (normal respiratory rate, hypertension, mild fever) do not warrant withholding the drug.
Question 5 of 5
A nurse is reviewing data for a client who receives clonidine daily. Which of the following findings indicates the nurse should withhold the next dose?
Correct Answer: B
Rationale: Clonidine lowers blood pressure; a BP of 88/50 mm Hg indicates hypotension, warranting withholding the dose. Normal urine output, slight tachycardia, and low-normal glucose don't contraindicate it.