ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication history of a client who reports urinary retention. The nurse should recognize that which of the following medications can cause this adverse reaction?
Correct Answer: B
Rationale: Scopolamine, an anticholinergic drug, can cause urinary retention by blocking acetylcholine, which affects bladder muscle contraction and urinary sphincter relaxation. Donepezil treats Alzheimer's and doesn't cause this effect. Metoprolol, a beta-blocker, and acetaminophen, a pain reliever, are not typically associated with urinary retention.
Question 2 of 5
A nurse is reinforcing discharge teaching with a client who has a new prescription for rifampin. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Rifampin is best absorbed on an empty stomach, 1 hr before or 2 hr after meals. It may cause orange urine (not blue/green), doesn't typically cause insomnia, and hair growth isn't a side effect.
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 received levalbuterol 30 min ago. Which of the following findings should the nurse identify as a therapeutic effect of the medication?
Correct Answer: A
Rationale: Levalbuterol, a bronchodilator, reduces wheezing by relaxing airway muscles, its primary therapeutic effect. Increased respiratory rate or heart rate are side effects, and it doesn't treat nausea.
Question 5 of 5
A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?
Correct Answer: C
Rationale: Feeling effects within 5 minutes shows understanding of nitroglycerin's rapid action. It's not taken with food, may increase (not slow) heart rate, and is dosed every 5 minutes up to three times.