ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about the pledge program with a female client who has a new prescription for…. The nurse should tell the client that which of the following is a requirement of the program?
Correct Answer: C
Rationale: The correct answer is C: Sexually active female clients must use two forms of birth control during treatment. This requirement is crucial to prevent pregnancy due to the potential teratogenic effects of the medication on the fetus. Using two forms of birth control provides an extra layer of protection.
Other choices are incorrect:
A: Having a Papanicolaou test every 6 months is not a specific requirement of the program.
B: Starting a daily supplement of vitamin A is not a requirement for the pledge program.
D: Having a negative mammogram is not directly related to the pledge program's requirements.
Question 2 of 5
A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Renal excretion time slows for medication. As individuals age, there is a decline in renal function, leading to a decrease in glomerular filtration rate and renal blood flow. This results in a slower excretion of medications from the body, leading to potential accumulation and increased risk of toxicity.
Choices A, B, and C are incorrect as hepatic enzymes may actually decrease in function with age, gastric emptying rate tends to slow down, and brain receptors can become more sensitive rather than less sensitive to medications in older adults.
Question 3 of 5
A nurse is caring for an adult client who is receiving albuterol inhalation treatments. For which of the following adverse effects should the nurse monitor the client? (Select all that apply.)
Correct Answer: A, D, E
Rationale: The correct adverse effects to monitor for with albuterol inhalation treatments are shakiness, tachycardia, and palpitations. Albuterol is a beta-2 adrenergic agonist that can cause sympathetic stimulation, leading to these specific side effects. Shakiness is due to the stimulation of beta-2 receptors in muscles, tachycardia results from the activation of beta-1 receptors in the heart, and palpitations can occur due to increased heart rate. Fatigue and tinnitus are not commonly associated with albuterol use, making choices B and C incorrect. In summary, the correct answers are related to the sympathetic effects of albuterol, while the incorrect choices are not typically seen with this medication.
Question 4 of 5
A nurse is caring for a client who has a new prescription for valproic acid. The nurse should review which of the following baseline laboratory values prior to administering the medication?
Correct Answer: B
Rationale: The correct answer is B: Liver function tests. Valproic acid is known to potentially cause hepatotoxicity, so it is essential to assess baseline liver function tests before administering the medication. Monitoring liver function tests can help identify any pre-existing liver conditions and prevent further liver damage. Arterial blood gases (
A) are not directly related to valproic acid administration. Troponin levels (
C) are used to assess heart muscle damage, which is not a concern with valproic acid. Blood glucose levels (
D) are not specifically relevant to valproic acid therapy.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will report a sore throat to my provider." This is because prednisone can suppress the immune system, increasing the risk of infections like sore throat. Reporting any signs of infection promptly is crucial.
Choice A is incorrect because prednisone can cause sodium retention, so increasing sodium intake is not recommended.
Choice C is incorrect as prednisone is usually taken with food to minimize stomach irritation.
Choice D is incorrect because weight gain is more common with prednisone due to fluid retention.