ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Rinsing the mouth out after each dose is necessary for inhaled corticosteroids, not oral ones, to prevent oral thrush and other infections. Prednisone is typically taken with food to minimize gastrointestinal irritation. Prednisone is a corticosteroid that can cause bone loss and osteoporosis when used for long-term management of chronic asthma.
Therefore, the client should take a calcium supplement to prevent or reduce the risk of these complications. Weight gain, rather than weight loss, is a common side effect of prednisone use.
Question 2 of 5
A nurse is reviewing data for a client who receives clonidine daily. Which of the following findings indicates the nurse should withhold the next dose?
Correct Answer: C
Rationale: Clonidine primarily affects blood pressure and not heart rate. Clonidine does not directly affect urine output. Clonidine is an antihypertensive medication, and a low blood pressure reading indicates the need to withhold the next dose. Clonidine does not typically affect blood glucose levels.
Question 3 of 5
A nurse is collecting data from a client who received levalbuterol 30 min ago. Which of the following findings should the nurse identify as a therapeutic effect of the medication?
Correct Answer: B
Rationale: Levalbuterol is a bronchodilator that can improve airflow, but an increased respiratory rate is not the primary therapeutic effect. The primary therapeutic effect of levalbuterol is bronchodilation, leading to a reduction in wheezing. While levalbuterol can cause an increase in heart rate, this is not the primary therapeutic effect. Nausea is not typically affected by levalbuterol, and it is not a primary therapeutic outcome.
Question 4 of 5
A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose. Which of the following findings should indicate to the nurse that the medication is effective?
Correct Answer: C
Rationale: Naloxone administration may lead to an increase in blood pressure, not a decrease. While pain relief might occur, the primary goal of naloxone is to reverse respiratory depression, not to relieve pain. Naloxone is an opioid antagonist that reverses opioid-induced respiratory depression, so an increased respiratory rate indicates its effectiveness. Naloxone does not typically affect body temperature in a significant way.
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: D
Rationale: The needle size may be appropriate, but the Z-track technique should be used to prevent leakage of the medication into subcutaneous tissue. The site may be appropriate, but the Z-track technique should be used. Aspiration is necessary to ensure the needle is not in a blood vessel before injecting the medication. The Z-track technique helps prevent the medication from leaking into subcutaneous tissue.