ATI LPN
ATI PN Pharmacology 2020 Exam 2 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: A
Rationale: Echinacea may stimulate the immune system, and in individuals with autoimmune disorders like SLE, this immune stimulation can exacerbate the condition. Flaxseed is generally considered safe for individuals with SLE. Ginger is generally considered safe for individuals with SLE. Glucosamine is generally considered safe for individuals with SLE.
Question 2 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 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 nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa. Which of the following statements made by the client's family indicates an understanding of the teaching?
Correct Answer: B
Rationale: Eating a lot of protein can interfere with the absorption of levodopa, so this statement is incorrect. Levodopa/carbidopa can cause dyskinesias or involuntary movements, so monitoring for this is essential. Levodopa does not cure Parkinson's disease or prevent its progression; it helps manage symptoms. While levodopa can improve symptoms, the onset of action is not typically rapid, and it may take some time for optimal effect.
Question 5 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: A
Rationale: Echinacea may stimulate the immune system, and in individuals with autoimmune disorders like SLE, this immune stimulation can exacerbate the condition. Flaxseed is generally considered safe for individuals with SLE. Ginger is generally considered safe for individuals with SLE. Glucosamine is generally considered safe for individuals with SLE.