ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has COPD and has been taking long-term high doses of prednisone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Measure your blood glucose levels periodically.' addresses prednisone's hyperglycemia risk. Potassium restriction is wrong, contrast dye doesn't require withholding, and empty stomach increases irritation.
Question 2 of 5
A nurse is caring for a client who is receiving tobramycin. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: Tinnitus indicates ototoxicity, a key tobramycin risk. Salivation, bruising, and joint pain aren't typical.
Question 3 of 5
A nurse is collecting data from a client who reports nausea and has vomited clear emesis. Which of the following medications should the nurse administer?
Correct Answer: D
Rationale: Promethazine is an antiemetic effective for nausea and vomiting. Meperidine is an opioid for pain, diazepam is a sedative, and naloxone reverses opioids none address nausea.
Question 4 of 5
A nurse is caring for a client who has ulcerative colitis and is receiving sulfasalazine. Which of the following findings requires immediate intervention?
Correct Answer: D
Rationale: Wheezing suggests a hypersensitivity reaction like anaphylaxis, requiring immediate action due to airway risk. Anorexia, arthralgia, and nausea are milder side effects manageable without urgent intervention.
Extract:
Nurses' Notes
Medication Reconciliation
Medicine Prescriptions
1 week ago:
Client who was diagnosed with asthma during childhood presents to the clinic with increased night-time coughing and shortness of breath during activities of daily living. The client reports increased use of their rescue inhaler. The client has a non-productive cough and inspiratory and expiratory wheezing heard during auscultation. Client prescribed prednisone and requested to follow up in 5 to 7 days.
Today:
The client reports their asthma symptoms have improved since beginning the prednisone. Lung sounds clear with occasional wheezing. The client has gained 1.36 kg (3 lb) since the last visit. The client states they received the "flu shot" 3 days ago to avoid getting sick. The client states they hurt their back while moving the couch 5 days ago and have been taking ibuprofen twice daily since then.
Question 5 of 5
Complete the following sentence by using the lists of options: The client is most at risk for developing ___ due to their ___.
| Cushing syndrome |
| influenza |
| peptic ulcers |
| NSAID use |
| recent immunization |
| weight gain |
Correct Answer: C,D
Rationale: The client is most at risk for developing peptic ulcers due to their NSAID use with prednisone, both impairing stomach lining protection.