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 due to gastrointestinal bleeding. The nurse should instruct the client to report this to the provider immediately as it could indicate a serious issue. Increased energy levels (
A) are not typically a side effect of naproxen. Improved appetite (
C) and mild headache (
D) are common side effects that do not require immediate reporting.
Extract:
Vital Signs Day 1: Temperature 37.5° C (99.5° F), Heart rate 98/min, Respiratory rate 20/min, Blood pressure 180/86 mm Hg, Oxygen saturation 95% on room air, Weight 90 kg (198 lb); 2 months later: Temperature 37.5° C (99.5° F), Heart rate 48/min, Respiratory rate 20/min, Blood pressure 140/76 mm Hg, Oxygen saturation 97% on room air, Weight 91 kg (200 lb)
Question 2 of 5
The nurse is evaluating the client's response to the medication. The client's ___________ and ____________ indicate the client's condition is improving.
Correct Answer: B, E
Rationale: The correct answers are B (Heart rate) and E (Blood pressure) because they are vital signs that directly reflect the body's response to medication. An improving condition would typically show a decrease in heart rate and blood pressure due to the medication's effectiveness in stabilizing the body's functions. HDL level, potassium level, and weight are not direct indicators of the client's immediate response to medication and may change for various reasons unrelated to medication effectiveness.
Extract:
Question 3 of 5
A nurse is collecting data from a client who is taking sumatriptan. Which of the following reports indicates a therapeutic response to the medication?
Correct Answer: D
Rationale: The correct answer is D: Absence of headache. Sumatriptan is a medication used to treat migraines. A therapeutic response would be the absence of headache, as this indicates that the medication is effectively managing the migraine symptoms. Increased bone mass (
A) is unrelated to sumatriptan. Relief of chest pain (
B) is not a common indication of sumatriptan. Improved mood (
C) is not a direct effect of sumatriptan.
Therefore, the absence of headache (
D) is the most relevant and expected therapeutic response to sumatriptan.
Question 4 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 while on the medication, which could harm the fetus. A Papanicolaou test every 6 months (
Choice
A) is important for monitoring cervical health but not a requirement of the program. Starting a daily supplement of vitamin A (
Choice
B) is not directly related to the program's requirements. A negative mammogram (
Choice
D) is not necessary for the program.
Question 5 of 5
A nurse is preparing to administer acetaminophen 650 mg rectally. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Have the client lie on his left side for 5 min after insertion. This position allows for optimal absorption of the medication. Placing the client on the left side helps the suppository reach the rectal mucosa, enhancing drug absorption. This position also prevents the suppository from being expelled prematurely.
Choice A is incorrect because inserting the suppository too far (5 cm) can cause discomfort or injury.
Choice B is unnecessary as lubrication is typically not needed for rectal suppositories.
Choice D is incorrect as warming the suppository is not recommended and may alter the medication's effectiveness.