ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who was taking oxycodone four times a day for chronic pain and reports discontinuing the medication 10 days ago. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Insomnia. When oxycodone is discontinued after long-term use, withdrawal symptoms such as insomnia are common due to the body readjusting to not having the medication.
Choice A - Hypotension is unlikely as oxycodone withdrawal typically does not cause low blood pressure.
Choice B - Constricted pupils are associated with opioid use, not withdrawal.
Choice D - Constipation is a common side effect of opioids but not a withdrawal symptom after discontinuation.
Extract:
Nurses Notes 0830: Walk-in clinic visit for adolescent client who is accompanied by their guardian. The guardian states, 'My child has a partner, and I want to be sure that they have some birth control before becoming sexually active': The client states, 'I want to be sure I don't get pregnant or get an STI.' 0915: Witnessed consent signed by client and guardian. Assisted provider with placement of intrauterine device (IUD). Client tolerated procedure well. Provider Prescriptions 0930: Human Papillomavirus (HPV) vaccine, administer first dose today IM
Question 2 of 5
Which of the following client statements indicate that the nurse's reinforced teaching about the immunization was effective? Select all that apply.
Correct Answer: D, F, G
Rationale: The correct answers are D, F, and G. D is correct because the client showing understanding of needing to return for another shot in 2 months indicates comprehension of the immunization schedule. F is correct because understanding that the shot can prevent some cancers shows the client grasps the potential benefits of the immunization. G is correct because suggesting the partner should also get the shot demonstrates understanding of the importance of herd immunity and preventing the spread of diseases.
Choices A, B, C, and E are incorrect because they demonstrate misconceptions or lack of understanding regarding the purpose and effects of the immunization.
Extract:
Question 3 of 5
A nurse is reinforcing teaching with a young adult client who has a new prescription for ear drops. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Pull the pinna up and back to administer medication. This technique helps straighten the ear canal for proper administration of the drops. Pulling the pinna up and back in adults helps to open the ear canal and ensure the drops reach the eardrum effectively.
Choice A is incorrect as chilling ear drops can cause discomfort.
Choice B is incorrect as pressing a cotton ball can prevent the drops from reaching the eardrum.
Choice D is incorrect as placing an applicator into the ear canal can cause injury.
Question 4 of 5
A nurse is preparing to administer acetaminophen 650 mg rectally. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Have the client lie on his left side for 5 min after insertion. This position allows for optimal absorption of the medication. Placing the client on the left side helps the suppository reach the rectal mucosa, enhancing drug absorption. This position also prevents the suppository from being expelled prematurely.
Choice A is incorrect because inserting the suppository too far (5 cm) can cause discomfort or injury.
Choice B is unnecessary as lubrication is typically not needed for rectal suppositories.
Choice D is incorrect as warming the suppository is not recommended and may alter the medication's effectiveness.
Question 5 of 5
A nurse is reinforcing teaching with the parents of a 1-year-old client following the administration of the measles, mumps, and rubella virus vaccine (MMR). Which of the following adverse effects should the nurse instruct the parents to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Shortness of breath. Shortness of breath is a serious adverse effect that could indicate an allergic reaction or anaphylaxis to the MMR vaccine. This requires immediate medical attention to prevent further complications. Glandular swelling around the jaw (choice
A) could be a common side effect of the vaccine but is not as urgent as shortness of breath. Redness around the injection site (choice
B) is a common and expected side effect. A temperature of 37.3°C (99.2°F) (choice
C) is a mild fever and is a common reaction to the vaccine. However, shortness of breath is a more critical symptom that necessitates immediate reporting to the healthcare provider.