ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an enteric-corrected oral medication to a client who is having difficulty swallowing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing an enteric-coated medication on the tongue allows easier swallowing without damaging the coating, which protects against stomach irritation. Chewing, dissolving, or buccal placement could compromise the coating.
Question 2 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: Watching for unusual movements (e.g., dyskinesia) shows understanding of levodopa/carbidopa side effects. Protein can interfere with absorption, it doesn't stop progression, and improvement isn't rapid.
Question 3 of 5
A nurse is collecting data from a client who received levalbuterol 30 min ago. Which of the following findings should the nurse identify as a therapeutic effect of the medication?
Correct Answer: A
Rationale: Levalbuterol, a bronchodilator, reduces wheezing by relaxing airway muscles, its primary therapeutic effect. Increased respiratory rate or heart rate are side effects, and it doesn't treat nausea.
Question 4 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.
Question 5 of 5
A nurse is reviewing the medication history of a client who reports urinary retention. The nurse should recognize that which of the following medications can cause this adverse reaction?
Correct Answer: B
Rationale: Scopolamine, an anticholinergic drug, can cause urinary retention by blocking acetylcholine, which affects bladder muscle contraction and urinary sphincter relaxation. Donepezil treats Alzheimer's and doesn't cause this effect. Metoprolol, a beta-blocker, and acetaminophen, a pain reliever, are not typically associated with urinary retention.