ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer digoxin to a client. For which of the following findings should the nurse withhold the medication?
Correct Answer: A
Rationale: An apical pulse of 54/min is below the adult threshold of 60 bpm, indicating a risk of bradycardia with digoxin, which slows heart rate. Other findings (normal respiratory rate, hypertension, mild fever) do not warrant withholding the drug.
Question 2 of 5
A nurse is collecting data from a client who has a new prescription for amoxicillin. Which of the following findings indicates that the client is having an allergic reaction to the medication?
Correct Answer: A
Rationale: Wheezing suggests an allergic reaction (e.g., bronchospasm) to amoxicillin, a penicillin. Bradycardia, polyuria, and bruising are not typical allergic response signs.
Question 3 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 4 of 5
A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Long-term prednisone use risks osteoporosis; a calcium supplement helps protect bones. Rinsing is for inhaled steroids, it's taken with food, and weight gain (not loss) is expected.
Question 5 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, a leukotriene inhibitor, reduces bronchial inflammation in asthma, its primary therapeutic effect. It doesn't affect vasodilation, WBC count, or gastric acid.