ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication administration record of a client who has an NG tube. Which of the following medications should the nurse plan to administer through the NG tube?
Correct Answer: C
Rationale: The correct answer is C: Lovastatin. This medication is suitable for administration through an NG tube because it is not an enteric-coated or sustained-release formulation, ensuring proper absorption via the tube. Dipivefrin (
A) is an ophthalmic medication, not suitable for NG tube administration. Salmeterol (
B) is a long-acting beta-agonist inhaler medication. Nitroglycerin (
D) is typically administered sublingually or transdermally for rapid absorption, not through an NG tube.
Question 2 of 5
A nurse is collecting data from a client who is taking high doses of aspirin to treat rheumatoid arthritis. Which of the following findings indicates that the client has salicylism?
Correct Answer: A
Rationale: The correct answer is A: Tinnitus. Salicylism is an aspirin toxicity characterized by symptoms like tinnitus, dizziness, and hearing loss. Tinnitus is a common early sign of salicylism due to its ototoxic effects. Nuchal rigidity (choice
B) is not typically associated with salicylism but rather with meningitis. Pharyngitis (choice
C) is inflammation of the throat and is not a common manifestation of salicylism. Pruritus (choice
D) refers to itching and is not a typical symptom of salicylism.
Therefore, the presence of tinnitus is the most indicative of salicylism in a client taking high doses of aspirin.
Question 3 of 5
A nurse is caring for a client who is immunosuppressed. The nurse should identify that which of following immunizations is contraindicated for this client?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Varicella vaccine contains live attenuated virus which can cause infection in immunosuppressed individuals. This can lead to serious complications. Pneumococcal, Meningococcal, and Inactivated influenza vaccines are all safe for immunosuppressed individuals as they do not contain live viruses. These vaccines help protect against bacterial or inactivated viral infections without posing a risk of causing the disease in immunosuppressed individuals.
Question 4 of 5
A nurse is caring for a client who has Graves' disease and is to start therapy with propylthiouracil. The nurse should expect which of the following outcomes?
Correct Answer: A
Rationale: The correct answer is A: Decreased heart rate. Propylthiouracil is an antithyroid medication that inhibits the synthesis of thyroid hormones. In Graves' disease, there is excessive production of thyroid hormones leading to symptoms like tachycardia. By decreasing the levels of thyroid hormones, propylthiouracil can help normalize the heart rate. Decreased WBC count (
B) and increased Hgb (
C) are not expected outcomes of propylthiouracil therapy. Increased blood pressure (
D) is not a direct effect of propylthiouracil in treating Graves' disease.
Question 5 of 5
A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Identify the client using two means of identification. This should be the first action taken by the nurse to ensure the right medication is being given to the right patient. By confirming the client's identity with two separate identifiers, such as asking for their name and date of birth or checking their hospital wristband and asking for confirmation verbally, the nurse can prevent medication errors. Documenting the time of administration (
B) should come after confirming the client's identity. Validating the prescription with available medication (
C) and calculating the correct amount of medication (
D) should be done after confirming the client's identity to ensure the medication is being given to the right person.