ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil. Which of the following therapeutic effects should the nurse inform the family to expect?
Correct Answer: A
Rationale: Donepezil is used to treat Alzheimer's disease and is expected to improve cognitive function. Donepezil is not indicated for pulmonary function improvement. Donepezil is not primarily used for seizure control. Donepezil does not typically affect urinary output.
Question 2 of 5
A nurse who is preparing to administer medications to a client is unfamiliar with a medication that the client takes at home. Which of the following resources should the nurse consult?
Correct Answer: D
Rationale: While the family may provide some information, a nursing drug guide is a more reliable and comprehensive resource. Another nurse may have some knowledge, but consulting a drug guide is a standard and reliable practice. While they can provide information, their perspective may be biased, and it's not a standard resource for immediate clinical information. A nursing drug guide is a comprehensive and unbiased resource that provides essential information about medications.
Question 3 of 5
A nurse is preparing to administer somatropin 0.24 mg/kg/week subcutaneously to be divided into six daily doses to a school-age child who weighs 66 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.2
Rationale: 1. Convert weight from pounds to kilograms: Child's weight = 66 lb, Conversion factor: 1 kg = 2.2 lb, 66 lb ÷ 2.2 = 30 kg. 2. Calculate the total weekly dose: Prescribed dose = 0.24 mg/kg/week, 30 kg × 0.24 mg/kg = 7.2 mg/week. 3. Determine the daily dose: The dose is given six times per week, 7.2 mg ÷ 6 = 1.2 mg/day. The nurse should administer 1.2 mg of somatropin per dose subcutaneously to the child.
Question 4 of 5
A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose. Which of the following findings should indicate to the nurse that the medication is effective?
Correct Answer: C
Rationale: Naloxone administration may lead to an increase in blood pressure, not a decrease. While pain relief might occur, the primary goal of naloxone is to reverse respiratory depression, not to relieve pain. Naloxone is an opioid antagonist that reverses opioid-induced respiratory depression, so an increased respiratory rate indicates its effectiveness. Naloxone does not typically affect body temperature in a significant way.
Question 5 of 5
A nurse is reviewing data for a client who receives clonidine daily. Which of the following findings indicates the nurse should withhold the next dose?
Correct Answer: C
Rationale: Clonidine primarily affects blood pressure and not heart rate. Clonidine does not directly affect urine output. Clonidine is an antihypertensive medication, and a low blood pressure reading indicates the need to withhold the next dose. Clonidine does not typically affect blood glucose levels.