ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is taking ferrous sulfate. The nurse should report which of the following findings as an adverse effect of this medication?
Correct Answer: D
Rationale: The correct answer is D: Epigastric pain. Ferrous sulfate, an iron supplement, is known to cause gastrointestinal side effects, including epigastric pain. This is due to its irritant effect on the stomach lining. Tinnitus (
A) is associated with aspirin toxicity, hot flashes (
B) are not related to ferrous sulfate, and diplopia (
C) is not a common side effect of this medication. In summary, epigastric pain is the correct adverse effect to report because it is a known gastrointestinal side effect of ferrous sulfate, while the other choices are not typically associated with this medication.
Question 2 of 5
A nurse is reviewing the medication list of a client who has a new prescription for tetracycline. The nurse should instruct the client to take which of the following medications 3 hr before or after taking the tetracycline?
Correct Answer: B
Rationale: The correct answer is B: Antacid. Tetracycline can bind with divalent and trivalent cations, reducing its absorption. Antacids containing aluminum, calcium, magnesium, or iron can chelate with tetracycline, reducing its effectiveness.
Therefore, it is important to space the administration of tetracycline and antacids at least 2-3 hours apart to prevent this interaction. Hydrochlorothiazide (choice
A), acetaminophen (choice
C), and lovastatin (choice
D) do not interact significantly with tetracycline in this manner, so they do not need to be spaced apart.
Question 3 of 5
A nurse in a provider's office is collecting data from a client who continues to have a migraine headache after taking sumatriptan orally 2 hr ago. Which of the following findings is the priority for the nurse to report?
Correct Answer: B
Rationale: The correct answer is B: Hypertension. The nurse should prioritize reporting hypertension because sumatriptan, a medication used to treat migraines, can potentially cause a rare but serious side effect of increasing blood pressure. Hypertension could lead to severe complications such as stroke or heart attack. Reporting this finding promptly allows for appropriate intervention.
Other choices are less concerning: A (tingling sensation) and C (flushing) are common side effects of sumatriptan, while D (dizziness) is a less urgent symptom compared to hypertension in this context.
Question 4 of 5
A nurse is reviewing the medication administration record of a client who has an NG tube. Which of the following medications should the nurse plan to administer through the NG tube?
Correct Answer: C
Rationale: The correct answer is C: Lovastatin. This medication is suitable for administration through an NG tube because it is not an enteric-coated or sustained-release formulation, ensuring proper absorption via the tube. Dipivefrin (
A) is an ophthalmic medication, not suitable for NG tube administration. Salmeterol (
B) is a long-acting beta-agonist inhaler medication. Nitroglycerin (
D) is typically administered sublingually or transdermally for rapid absorption, not through an NG tube.
Question 5 of 5
A nurse is caring for a client who had abdominal surgery. The client is grimacing and has a respiratory rate of 24/min. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the client's current level of pain. The nurse should prioritize assessing the client's pain as grimacing and increased respiratory rate can indicate pain. By assessing the pain level first, the nurse can address the client's immediate needs and provide appropriate pain relief interventions. Option B is incorrect as distraction may not address the underlying cause of the client's discomfort. Option C is also incorrect as repositioning may not alleviate pain. Option D is incorrect as a cold compress may not be the appropriate intervention without assessing the cause of the pain first.