ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to identify a client prior to medication administration. Which of the following questions should the nurse ask to determine the client's identity?
Correct Answer: C
Rationale: Are you 65 years of age? is incorrect. Age alone is not a reliable method for identifying a client and could be misleading. Can you tell me your room number? is incorrect. Room numbers can be shared by multiple patients and are not a reliable identifier for medication administration. Is your name Sarah Jones? is correct. This question confirms the client's identity by using a personal identifier (name), which should match the information in the medical record. What is your home phone number? is incorrect. While a phone number could be used for identification, it is not typically used in a healthcare setting for confirming identity prior to medication administration. It is also not as accurate as confirming the client's name.
Question 2 of 5
A nurse is collecting data from a client who received diphenhydramine 1 hr ago after developing an allergic reaction to trimethoprim-sulfamethoxazole. Which of the following statements by the client should indicate to the nurse that the medication is effective?
Correct Answer: B
Rationale: Headache relief may not be a direct indication of the effectiveness of diphenhydramine for an allergic reaction. Improvement in symptoms related to the allergic reaction, such as hoarseness, suggests the effectiveness of diphenhydramine. Changes in appetite are not typically related to the antihistamine effects of diphenhydramine. Alertness is not a specific indicator of the antihistamine effects of diphenhydramine.
Question 3 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 4 of 5
A nurse is reinforcing teaching with a client who is to start therapy with insulin lispro and insulin glargine. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: Insulin lispro is a rapid-acting insulin that should be taken just before a meal to cover postprandial glucose excursions. Insulin lispro and insulin glargine should not be mixed in the same syringe, as they have different onset and duration of action. Insulin vials should not be shaken, as this can lead to clumping and affect the insulin's effectiveness. Insulin glargine is a long-acting insulin and is typically given once a day.
Question 5 of 5
A nurse is caring for an older adult client who has heart failure and a prescription for a repeat dose of furosemide 40 mg orally. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: While important, reviewing electrolyte levels takes priority, especially considering furosemide's potential impact on electrolyte balance. Furosemide, a loop diuretic, can lead to electrolyte imbalances, such as hypokalemia, so it is crucial to review electrolyte levels before administering another dose. Before administering the medication, reviewing electrolyte levels is essential to avoid potential complications. Monitoring urinary output is important, but reviewing electrolyte levels is more crucial in this situation.