ATI RN
ATI NUR 229 Pharmacology Test 1 OEK Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider?
Correct Answer: C
Rationale: Fluticasone, a corticosteroid, can cause oral thrush, presenting as a white coating in the mouth, which requires reporting. Increased appetite, dry mouth, and sedation are not typical adverse effects.
Question 2 of 5
Acetylcysteine (Mucomyst) is a mucolytic that can also be used in the treatment of overdosage of which drug?
Correct Answer: C
Rationale: Acetylcysteine replenishes glutathione, neutralizing toxic acetaminophen metabolites in overdose, preventing liver damage. It's not used for overdoses of ibuprofen, diphenhydramine, or amoxicillin.
Question 3 of 5
A nurse has been administering mucolytic-like Hypertonic Nasal drops to an infant she has been caring for. How can she chart the effectiveness of this medication in her narrative note?
Correct Answer: A,C,D
Rationale: Effective charting notes improved nasal congestion, tolerance without distress, and proper administration. Options A, C, and D reflect these, indicating the drops' mucolytic effect.
Question 4 of 5
A nurse is caring for a client who is prescribed diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give?
Correct Answer: D
Rationale: Taking diphenhydramine at bedtime minimizes daytime sedation, as its sedative effects occur during sleep. Other options do not effectively reduce daytime drowsiness.
Question 5 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.