ATI LPN
ATI PN Pharmacology 2020 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: B
Rationale: Clonidine lowers blood pressure; a BP of 88/50 mm Hg indicates hypotension, warranting withholding the dose. Normal urine output, slight tachycardia, and low-normal glucose don't contraindicate it.
Question 2 of 5
A nurse in an acute care facility is collecting data from a client who has received the meningococcal conjugate vaccine. The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine?
Correct Answer: C
Rationale: Headache is a common adverse effect of the meningococcal conjugate vaccine. Blurred vision, tinnitus, and dry mouth are not typically associated with this vaccine.
Question 3 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: B
Rationale: Reporting a sore throat shows understanding of prednisone's immunosuppressive effect, increasing infection risk. It's taken with food, sodium increase worsens fluid retention, and weight gain is expected.
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 charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?
Correct Answer: B
Rationale: PCA (Patient-Controlled Analgesia) requires the patient to self-administer doses; the nurse doing it risks overdose and requires intervention. Demonstrating, reassuring, and monitoring are appropriate.