ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?
Correct Answer: C
Rationale: Echinacea boosts the immune system, which can worsen autoimmune conditions like SLE. Flaxseed, glucosamine, and ginger are not contraindicated and may even offer anti-inflammatory benefits.
Question 2 of 5
A nurse is caring for a client who is postoperative following arthroscopy and reports a pain level of 6 on a scale of 0 to 10 after receiving ketorolac 1 hr ago. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Oxycodone is appropriate for breakthrough pain (6/10) post-ketorolac. Ketorolac isn't dosed every 3 hours, rectal acetaminophen isn't first-line, and labeling as drug-seeking is premature.
Question 3 of 5
A nurse is collecting data from a client following his first dose of captopril. The client's blood pressure is 88/60 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Placing the client supine increases cerebral blood flow to counter hypotension (88/60 mm Hg) from captopril, a priority action. Standing or sitting checks could worsen symptoms, and an IV bolus is secondary.
Question 4 of 5
A nurse administered ketorolac 30 mg IM to a client who is postoperative. Which of the following information should the nurse document?
Correct Answer: A,C,D,E
Rationale: Gauge/length, dose, site, and time are critical to document for tracking and safety. Expiration date is checked pre-administration but not typically recorded post-administration.
Question 5 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.