ATI LPN
ATI PN Pharmacology 2020 Exam 2 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: A
Rationale: The client should take this medication on an empty stomach, at least 1 hour before or 2 hours after a meal, to increase its absorption and effectiveness. Rifampin can cause harmless discoloration of body fluids, including urine, to a red-orange color. Insomnia is not a common side effect of rifampin. Unusual hair growth is not typically associated with rifampin use.
Question 2 of 5
A nurse is assisting in the care of a client who is receiving morphine via a continuous epidural infusion. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: Constipation is a common side effect of opioids but not an immediate concern. Respiratory depression is a severe side effect of morphine and requires immediate attention. Facial flushing is a common side effect of opioids but is not immediately concerning. While low blood pressure may be a concern, respiratory rate is a more critical indicator of potential life-threatening complications.
Question 3 of 5
A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?
Correct Answer: B
Rationale: Appropriate monitoring to prevent oversedation is a correct action. Administering the PCA dose is a correct action, provided it is done according to the prescribed parameters. Ensuring the client can use the PCA device correctly is a correct action. Reassuring the client that the PCA device will not cause an overdose is appropriate because PCA devices are designed with safety measures to prevent overdosing. [Generated rationale: The nurse administering a PCA dose directly is incorrect because PCA (Patient-Controlled Analgesia) devices are designed for the patient to self-administer doses within safe limits. The nurse should not bypass this mechanism unless specifically ordered, as it undermines the safety features of PCA therapy.]
Question 4 of 5
A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?
Correct Answer: D
Rationale: Isotretinoin is not associated with cervical cancer risk, and this requirement is not part of the iPLEDGE program. Mammogram is not a requirement of the iPLEDGE program. While vitamin A supplementation may be recommended, it is not a specific requirement of the iPLEDGE program. This is a key requirement of the iPLEDGE program due to the teratogenic effects of isotretinoin.
Question 5 of 5
A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?
Correct Answer: D
Rationale: Anorexia is not typically associated with benzodiazepine withdrawal. Hypotension is not a common withdrawal symptom of diazepam. Drowsiness is more likely a side effect of benzodiazepine use rather than withdrawal. Tremors are a common manifestation of benzodiazepine withdrawal.