ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is reinforcing discharge teaching with a client who has a new prescription for rifampin. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Rifampin is best absorbed on an empty stomach, 1 hr before or 2 hr after meals. It may cause orange urine (not blue/green), doesn't typically cause insomnia, and hair growth isn't a side effect.
Question 2 of 5
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Exenatide is injected subcutaneously in the abdomen for proper absorption. It's discarded after 30 days (not 60), taken before meals (not bedtime), and muscle pain isn't a common side effect.
Question 3 of 5
A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?
Correct Answer: D
Rationale: Carbamazepine, an anticonvulsant, is commonly used to reduce nerve pain in trigeminal neuralgia. Fluoxetine (antidepressant), methylphenidate (stimulant), and lorazepam (anxiolytic) are not indicated for this condition.
Question 4 of 5
A nurse is reviewing the medication history of a client who reports urinary retention. The nurse should recognize that which of the following medications can cause this adverse reaction?
Correct Answer: B
Rationale: Scopolamine, an anticholinergic drug, can cause urinary retention by blocking acetylcholine, which affects bladder muscle contraction and urinary sphincter relaxation. Donepezil treats Alzheimer's and doesn't cause this effect. Metoprolol, a beta-blocker, and acetaminophen, a pain reliever, are not typically associated with urinary retention.
Question 5 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: B
Rationale: The Z-track technique prevents leakage into subcutaneous tissue for IM injections like those for gonorrhea. Umbilicus distance applies to subcutaneous injections, aspiration is standard, and a 27-gauge needle is too small.