ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Sedation is a hallmark of oxycodone overdose due to its CNS depressant effects. Pupils constrict (not dilate), breathing slows (bradypnea, not tachypnea), and heart rate may decrease (not tachycardia).
Question 2 of 5
A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which of the following is an expected therapeutic effect of this medication?
Correct Answer: D
Rationale: Montelukast, a leukotriene inhibitor, reduces bronchial inflammation in asthma, its primary therapeutic effect. It doesn't affect vasodilation, WBC count, or gastric acid.
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: Glyburide lowers blood glucose; anxiety and sweating suggest hypoglycemia, so a decreased glucose level is expected. Chvostek's sign, edema, and reflexes relate to other conditions.
Question 4 of 5
A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Creatinine 3.1 mg/dL indicates kidney damage, a serious vancomycin side effect requiring immediate reporting. Loose stools, slight WBC elevation, and tachycardia are less urgent.
Question 5 of 5
A nurse is preparing to identify a client prior to medication administration. Which of the following questions should the nurse ask to determine the client's identity?
Correct Answer: C
Rationale: Asking the client to confirm their name (e.g., 'Is your name Sarah Jones?') is a direct, reliable identity check. Phone numbers, room numbers, and age are less specific or stable identifiers.