ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching?
Correct Answer: C
Rationale: Weight gain, not weight loss, is a common side effect of prednisone. Sodium restriction may be necessary, as prednisone can cause sodium retention. Prednisone can suppress the immune system, and reporting signs of infection, such as a sore throat, is important. Prednisone is typically taken with food to minimize gastrointestinal irritation.
Question 3 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. The nurse should expect to administer which of the following medications?
Correct Answer: D
Rationale: Budesonide is an inhaled corticosteroid used for long-term control of asthma and is not typically used for acute attacks. Cromolyn is a mast cell stabilizer used for the prevention of asthma symptoms and is not a rescue medication for acute attacks. Ipratropium is an anticholinergic bronchodilator used for maintenance treatment of bronchospasms and is not typically used for acute attacks. Levalbuterol is a short-acting beta-agonist bronchodilator and is commonly used as a rescue medication for acute asthma attacks.
Question 4 of 5
A nurse is reinforcing teaching about the varicella vaccine with the guardian of a toddler. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Aspirin is not recommended for routine use in children due to the risk of Reye's syndrome. Live vaccines, like the varicella vaccine, may be contraindicated in children with leukemia or other immunocompromised conditions. The vaccine is not made with eggs and does not cause egg allergy. The first dose is usually recommended between 12 and 15 months of age.
Question 5 of 5
A nurse is collecting data from a client who received diphenhydramine for insomnia. Which of the following findings should the nurse identify as an idiosyncratic reaction?
Correct Answer: D
Rationale: Dizziness is a common side effect of diphenhydramine but not considered idiosyncratic. Nausea is a common side effect and not considered idiosyncratic. Dry mouth is a common side effect and not considered idiosyncratic. An idiosyncratic reaction is an unexpected reaction to a drug that is not related to its known pharmacological effects. Agitation may be an unusual response to diphenhydramine.