ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: This helps to enhance absorption and prevent the ointment from being rubbed off onto clothing. The ointment should not be massaged, as this can alter absorption and effectiveness. The prescribed dose and area for nitroglycerin ointment application should be specific to the individual's prescription; a larger area is not necessary. A thin layer is recommended to ensure accurate dosing and absorption.
Question 2 of 5
A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which of the following is an expected therapeutic effect of this medication?
Correct Answer: D
Rationale: Montelukast is not associated with an increase in white blood cell count. Montelukast primarily acts as a leukotriene receptor antagonist, targeting inflammation in the airways, and does not affect peripheral vasodilation. Montelukast is not used for gastric acid neutralization; it is indicated for the treatment of respiratory conditions like asthma. Montelukast is known for its anti-inflammatory effects on the airways, reducing bronchial inflammation and improving symptoms in conditions like asthma.
Question 3 of 5
A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The needle size may be appropriate, but the Z-track technique should be used to prevent leakage of the medication into subcutaneous tissue. The site may be appropriate, but the Z-track technique should be used. Aspiration is necessary to ensure the needle is not in a blood vessel before injecting the medication. The Z-track technique helps prevent the medication from leaking into subcutaneous tissue.
Question 4 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 5 of 5
A nurse administered ketorolac 30 mg IM to a client who is postoperative. Which of the following information should the nurse document? (Select all that apply.)
Correct Answer: B,D,E
Rationale: This information is not typically documented after administration. Documenting the site of injection is important for monitoring any local reactions or complications. While the nurse should be aware of this information during administration, it is not typically documented after administration. Documenting the time of administration is essential for tracking the medication schedule and monitoring for any adverse effects. Documenting the dose administered is crucial for accurate record-keeping and ensuring patient safety.