ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 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: A
Rationale: Renal excretion slows with age, increasing drug levels and side effect risks in older adults. Hepatic metabolism slows (not speeds), brain sensitivity varies, and gastric emptying decreases.
Question 2 of 5
A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa. Which of the following statements made by the client's family indicates an understanding of the teaching?
Correct Answer: B
Rationale: Watching for unusual movements (e.g., dyskinesia) shows understanding of levodopa/carbidopa side effects. Protein can interfere with absorption, it doesn't stop progression, and improvement isn't rapid.
Question 3 of 5
A nurse is administering spironolactone at 0800 to a client who has heart failure. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, a key adverse effect to monitor in heart failure patients. It doesn't typically cause hypernatremia, hypophosphatemia, or hypocalcemia.
Question 4 of 5
A nurse is collecting data from a client who has hypertension. The nurse should recognize that which of the following over-the-counter medications is contraindicated for this client?
Correct Answer: B
Rationale: Pseudoephedrine, a decongestant, can raise blood pressure, making it contraindicated in hypertension. Docusate, omeprazole, and guaifenesin don't significantly affect BP.
Question 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
Correct Answer: D
Rationale: Instructing visitors not to operate the PCA pump prevents overdose, a key safety teaching. PCA reduces toxicity risk, constipation (not diarrhea) is common, and pain checks should be more frequent than every 8 hours.