ATI LPN
ATI PN Pharmacology 2020 Exam 2 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: A
Rationale: The nurse should expect sedation as a finding in a client who has taken an overdose of oxycodone, as this medication can cause respiratory depression, drowsiness, and coma in high doses. Opioid overdose typically leads to bradycardia, not tachycardia. Opioid overdose can cause miosis (constricted pupils), not dilated pupils. Opioid overdose can result in respiratory depression, leading to bradypnea rather than tachypnea.
Question 2 of 5
A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Rinsing the mouth out after each dose is necessary for inhaled corticosteroids, not oral ones, to prevent oral thrush and other infections. Prednisone is typically taken with food to minimize gastrointestinal irritation. Prednisone is a corticosteroid that can cause bone loss and osteoporosis when used for long-term management of chronic asthma.
Therefore, the client should take a calcium supplement to prevent or reduce the risk of these complications. Weight gain, rather than weight loss, is a common side effect of prednisone use.
Question 3 of 5
A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil. Which of the following therapeutic effects should the nurse inform the family to expect?
Correct Answer: A
Rationale: Donepezil is used to treat Alzheimer's disease and is expected to improve cognitive function. Donepezil is not indicated for pulmonary function improvement. Donepezil is not primarily used for seizure control. Donepezil does not typically affect urinary output.
Question 4 of 5
A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?
Correct Answer: B
Rationale: Appropriate monitoring to prevent oversedation is a correct action. Administering the PCA dose is a correct action, provided it is done according to the prescribed parameters. Ensuring the client can use the PCA device correctly is a correct action. Reassuring the client that the PCA device will not cause an overdose is appropriate because PCA devices are designed with safety measures to prevent overdosing. [Generated rationale: The nurse administering a PCA dose directly is incorrect because PCA (Patient-Controlled Analgesia) devices are designed for the patient to self-administer doses within safe limits. The nurse should not bypass this mechanism unless specifically ordered, as it undermines the safety features of PCA therapy.]
Question 5 of 5
A nurse is collecting data from a client who received levalbuterol 30 min ago. Which of the following findings should the nurse identify as a therapeutic effect of the medication?
Correct Answer: B
Rationale: Levalbuterol is a bronchodilator that can improve airflow, but an increased respiratory rate is not the primary therapeutic effect. The primary therapeutic effect of levalbuterol is bronchodilation, leading to a reduction in wheezing. While levalbuterol can cause an increase in heart rate, this is not the primary therapeutic effect. Nausea is not typically affected by levalbuterol, and it is not a primary therapeutic outcome.