ATI RN
ATI NUR 229 Pharmacology Test 1 OEK Questions
Extract:
Question 1 of 5
A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider?
Correct Answer: C
Rationale: Montelukast can cause neuropsychiatric effects, including depression, which is serious and requires reporting. Constipation, blurred vision, and palpitations are not commonly associated.
Question 2 of 5
Client teaching regarding the use of leukotriene receptor antagonist (LTRAS) drug such as Montelukast (Singulair) would include which statement by the nurse?
Correct Answer: D
Rationale: Montelukast blocks leukotrienes, preventing airway inflammation and asthma attacks. It's for maintenance, not acute symptoms, and doesn't typically cause constipation or take weeks for effect.
Question 3 of 5
A nurse is teaching a client who has a new prescription for dimenhydrinate. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Dimenhydrinate, an antihistamine for motion sickness, commonly causes dizziness. Monitoring for it ensures safety, as it can affect balance and coordination.
Question 4 of 5
A contraindication for the use of Acetaminophen (Tylenol) in a patient is:
Correct Answer: C
Rationale: Acetaminophen is metabolized by the liver, and severe hepatic impairment can lead to toxic metabolite accumulation, causing hepatotoxicity. Other conditions are not contraindications.
Question 5 of 5
A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hr as needed. The amount available is diphenhydramine elixir 12.5 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Calculation: 25 mg / (12.5 mg/5 mL) = 25 * 5 / 12.5 = 10 mL. The nurse should administer 10 mL per dose.