ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 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: C
Rationale: Weight gain, not weight loss, is a common side effect of prednisone. Sodium restriction may be necessary, as prednisone can cause sodium retention. Prednisone can suppress the immune system, and reporting signs of infection, such as a sore throat, is important. Prednisone is typically taken with food to minimize gastrointestinal irritation.
Question 2 of 5
A nurse is preparing to administer a levothyroxine 50 mcg tablet PO to a client who is receiving an enteral feeding through an NG tube. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Adding medication directly to the enteral feeding formula is not recommended because it can cause uneven distribution of the medication, potential interactions with the formula, and can affect the stability of the medication. Dissolving the medication in 30 mL of water ensures that the medication is delivered in a form that is easily absorbed by the body, prevents clogging of the tube, and ensures accurate dosing. Flushing the tube with 5 mL of water after administering the medication is important, but it is not the primary action the nurse should take. Maintaining the client in the supine position is not recommended during medication administration via NG tube because it increases the risk of aspiration.
Question 3 of 5
A nurse is reinforcing teaching with a client who is to start therapy with insulin lispro and insulin glargine. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: Insulin lispro is a rapid-acting insulin that should be taken just before a meal to cover postprandial glucose excursions. Insulin lispro and insulin glargine should not be mixed in the same syringe, as they have different onset and duration of action. Insulin vials should not be shaken, as this can lead to clumping and affect the insulin's effectiveness. Insulin glargine is a long-acting insulin and is typically given once a day.
Question 4 of 5
A nurse is reinforcing teaching about the varicella vaccine with the guardian of a toddler. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Aspirin is not recommended for routine use in children due to the risk of Reye's syndrome. Live vaccines, like the varicella vaccine, may be contraindicated in children with leukemia or other immunocompromised conditions. The vaccine is not made with eggs and does not cause egg allergy. The first dose is usually recommended between 12 and 15 months of age.
Question 5 of 5
A nurse is preparing to administer medications to a client through an enteral feeding tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Medications should be administered separately to ensure proper absorption and effectiveness. This action helps prevent aspiration during medication administration but is not specific to enteral feeding tube administration. Flushing the tube with normal saline helps ensure that the entire medication dose reaches the client and prevents tube blockage. This action is not necessary and may disrupt the flow of the medication.