ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 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 2 of 5
A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?
Correct Answer: B
Rationale: Appropriate monitoring to prevent oversedation is a correct action. Administering the PCA dose is a correct action, provided it is done according to the prescribed parameters. Ensuring the client can use the PCA device correctly is a correct action. Reassuring the client that the PCA device will not cause an overdose is appropriate because PCA devices are designed with safety measures to prevent overdosing. [Generated rationale: The nurse administering a PCA dose directly is incorrect because PCA (Patient-Controlled Analgesia) devices are designed for the patient to self-administer doses within safe limits. The nurse should not bypass this mechanism unless specifically ordered, as it undermines the safety features of PCA therapy.]
Question 3 of 5
A nurse in an acute care facility is collecting data from a client who has received the meningococcal conjugate vaccine. The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine?
Correct Answer: D
Rationale: Blurred vision is not a common adverse effect of the meningococcal conjugate vaccine. Dry mouth is not a common adverse effect of the meningococcal conjugate vaccine. Tinnitus is not a common adverse effect of the meningococcal conjugate vaccine. Headache is a common side effect after receiving the meningococcal conjugate vaccine.
Question 4 of 5
A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Enteric-coated medications are designed to be swallowed whole and should not be chewed. The nurse should place the medication on the client's tongue and instruct them to swallow it whole with a glass of water. Dissolving enteric-coated oral medication in any liquid alters their effectiveness and potentially cause adverse effects. This action is not suitable for enteric-coated medications and may interfere with their effectiveness.
Question 5 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.