ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has hypertension. The nurse should recognize that which of the following over-the-counter medications is contraindicated for this client?
Correct Answer: C
Rationale: This medication is a stool softener and is not contraindicated for hypertension. This medication is an expectorant and is not contraindicated for hypertension. Pseudoephedrine is a decongestant that can increase blood pressure and is contraindicated for clients with hypertension. Omeprazole is a proton pump inhibitor used to reduce stomach acid and is not contraindicated for hypertension.
Question 2 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: B
Rationale: While important, reviewing electrolyte levels takes priority, especially considering furosemide's potential impact on electrolyte balance. Furosemide, a loop diuretic, can lead to electrolyte imbalances, such as hypokalemia, so it is crucial to review electrolyte levels before administering another dose. Before administering the medication, reviewing electrolyte levels is essential to avoid potential complications. Monitoring urinary output is important, but reviewing electrolyte levels is more crucial in this situation.
Question 3 of 5
A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
Correct Answer: A
Rationale: Only the client should operate the PCA pump to ensure self-administration within prescribed limits. Pain assessment should be more frequent, and the client's pain level should be assessed as needed, not on a fixed schedule. Morphine PCA allows the client to self-administer a predetermined dose, minimizing the risk of overdose or toxicity. Constipation, not diarrhea, is a common adverse effect of opioid medications, including morphine.
Question 4 of 5
A nurse who is preparing to administer medications to a client is unfamiliar with a medication that the client takes at home. Which of the following resources should the nurse consult?
Correct Answer: D
Rationale: While the family may provide some information, a nursing drug guide is a more reliable and comprehensive resource. Another nurse may have some knowledge, but consulting a drug guide is a standard and reliable practice. While they can provide information, their perspective may be biased, and it's not a standard resource for immediate clinical information. A nursing drug guide is a comprehensive and unbiased resource that provides essential information about medications.
Question 5 of 5
A nurse is preparing to administer somatropin 0.24 mg/kg/week subcutaneously to be divided into six daily doses to a school-age child who weighs 66 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.2
Rationale: 1. Convert weight from pounds to kilograms: Child's weight = 66 lb, Conversion factor: 1 kg = 2.2 lb, 66 lb ÷ 2.2 = 30 kg. 2. Calculate the total weekly dose: Prescribed dose = 0.24 mg/kg/week, 30 kg × 0.24 mg/kg = 7.2 mg/week. 3. Determine the daily dose: The dose is given six times per week, 7.2 mg ÷ 6 = 1.2 mg/day. The nurse should administer 1.2 mg of somatropin per dose subcutaneously to the child.