ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is taking aspirin. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Headache - Headache is a common side effect of aspirin and is not typically a cause for concern. BP 120/70 mm Hg - This blood pressure reading is within the normal range and is not a cause for concern related to aspirin. Hct 43% - Elevated hematocrit is not an adverse effect of aspirin. Rhinitis is a sign of hypersensitivity to aspirin and can indicate a risk of developing more severe reactions, such as bronchospasm or anaphylaxis. The nurse should report this finding to the provider and stop the medication.
Question 2 of 5
A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?
Correct Answer: B
Rationale: Diphenhydramine is an antihistamine and is not indicated for treating dizziness and lightheadedness associated with ramipril. Dizziness and lightheadedness may be indicative of hypotension, and an IV fluid bolus can help increase blood pressure. Naloxone is used to reverse opioid overdose and is not indicated for the symptoms described. Carbohydrates are not typically used to address dizziness and lightheadedness associated with antihypertensive medications.
Question 3 of 5
A nurse is assisting in the care of a client who is receiving morphine via a continuous epidural infusion. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: Constipation is a common side effect of opioids but not an immediate concern. Respiratory depression is a severe side effect of morphine and requires immediate attention. Facial flushing is a common side effect of opioids but is not immediately concerning. While low blood pressure may be a concern, respiratory rate is a more critical indicator of potential life-threatening complications.
Question 4 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 5 of 5
A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Enteric-coated medications are designed to be swallowed whole and should not be chewed. The nurse should place the medication on the client's tongue and instruct them to swallow it whole with a glass of water. Dissolving enteric-coated oral medication in any liquid alters their effectiveness and potentially cause adverse effects. This action is not suitable for enteric-coated medications and may interfere with their effectiveness.