ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has chronic stable angina and a new prescription for sublingual nitroglycerin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Taking sublingual nitroglycerin before strenuous activity prevents angina. It's taken without water, up to three tablets (not four) in 15 minutes, and dissolved under the tongue (not chewed).
Question 2 of 5
A nurse is collecting data from a client who is taking aspirin. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Rhinitis may indicate an allergic reaction to aspirin, which should be reported. Headache is a possible side effect but less urgent, while hematocrit 43% and BP 120/70 mm Hg are normal and not concerning.
Question 3 of 5
A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide. The client reports feeling anxious and having profuse sweating. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Glyburide lowers blood glucose; anxiety and sweating suggest hypoglycemia, so a decreased glucose level is expected. Chvostek's sign, edema, and reflexes relate to other conditions.
Question 4 of 5
A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Creatinine 3.1 mg/dL indicates kidney damage, a serious vancomycin side effect requiring immediate reporting. Loose stools, slight WBC elevation, and tachycardia are less urgent.
Question 5 of 5
A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Covering nitroglycerin ointment with plastic wrap enhances absorption. It's applied thinly over a 6-inch area, not 10 cm², and massaging or thick application is incorrect.