ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for naproxen. Which of the following is a potential adverse effect that the nurse should instruct the client to report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Black, tarry stools. This is a potential adverse effect of naproxen, indicating gastrointestinal bleeding. It is crucial to report this to the provider immediately to prevent serious complications. Increased energy levels (
A), improved appetite (
C), and mild headache (
D) are common side effects of naproxen and do not require immediate medical attention. The priority is to address potential serious adverse effects like gastrointestinal bleeding.
Question 2 of 5
A nurse is collecting data from a client who was taking oxycodone four times a day for chronic pain and reports discontinuing the medication 10 days ago. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Insomnia. When a client discontinues oxycodone, a narcotic analgesic, they may experience withdrawal symptoms such as insomnia due to the abrupt cessation of the medication affecting the central nervous system. Hypotension (
A) is not typically a withdrawal symptom of oxycodone. Constricted pupils (
B) are a sign of opioid intoxication, not withdrawal. Constipation (
D) is a common side effect of opioid use but is not a typical withdrawal symptom in this scenario.
Question 3 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 4 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 5 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.