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 fexofenadine tablets to treat seasonal allergies. Which of the following information should the nurse include?
Correct Answer: B
Rationale: While staying hydrated is important, there is no specific requirement for a liter of fluid with fexofenadine. Fexofenadine can cause drowsiness in some individuals, so caution with activities requiring mental alertness, such as driving, is advised. Fexofenadine should be taken with water, not juice, as juice may affect its absorption. Magnesium-containing antacids may decrease the absorption of fexofenadine and should be avoided.
Question 2 of 5
A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?
Correct Answer: D
Rationale: Anorexia is not typically associated with benzodiazepine withdrawal. Hypotension is not a common withdrawal symptom of diazepam. Drowsiness is more likely a side effect of benzodiazepine use rather than withdrawal. Tremors are a common manifestation of benzodiazepine withdrawal.
Question 3 of 5
A nurse is collecting data from a client who received levalbuterol 30 min ago. Which of the following findings should the nurse identify as a therapeutic effect of the medication?
Correct Answer: B
Rationale: Levalbuterol is a bronchodilator that can improve airflow, but an increased respiratory rate is not the primary therapeutic effect. The primary therapeutic effect of levalbuterol is bronchodilation, leading to a reduction in wheezing. While levalbuterol can cause an increase in heart rate, this is not the primary therapeutic effect. Nausea is not typically affected by levalbuterol, and it is not a primary therapeutic outcome.
Question 4 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 5 of 5
A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?
Correct Answer: D
Rationale: Isotretinoin is not associated with cervical cancer risk, and this requirement is not part of the iPLEDGE program. Mammogram is not a requirement of the iPLEDGE program. While vitamin A supplementation may be recommended, it is not a specific requirement of the iPLEDGE program. This is a key requirement of the iPLEDGE program due to the teratogenic effects of isotretinoin.