ATI LPN
ATI PN Pharmacology 2020 Exam 2 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: A
Rationale: Scopolamine is an anticholinergic medication that can cause urinary retention by blocking the parasympathetic stimulation of the bladder. Acetaminophen is not associated with urinary retention. Metoprolol is a beta-blocker and is not commonly associated with urinary retention. Donepezil has no effect on bladder function.
Question 2 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: Appropriate monitoring to prevent oversedation is a correct action. Administering the PCA dose is a correct action, provided it is done according to the prescribed parameters. Ensuring the client can use the PCA device correctly is a correct action. Reassuring the client that the PCA device will not cause an overdose is appropriate because PCA devices are designed with safety measures to prevent overdosing. [Generated rationale: The nurse administering a PCA dose directly is incorrect because PCA (Patient-Controlled Analgesia) devices are designed for the patient to self-administer doses within safe limits. The nurse should not bypass this mechanism unless specifically ordered, as it undermines the safety features of PCA therapy.]
Question 3 of 5
A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide. The client reports feeling anxious and having profuse sweating. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: This is associated with hypocalcemia, not glyburide use. This is not a typical finding related to glyburide use. Edema is not a common side effect of glyburide. Hypoglycemia, indicated by symptoms such as anxiety and sweating, can result from glyburide use.
Question 4 of 5
A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa. Which of the following statements made by the client's family indicates an understanding of the teaching?
Correct Answer: B
Rationale: Eating a lot of protein can interfere with the absorption of levodopa, so this statement is incorrect. Levodopa/carbidopa can cause dyskinesias or involuntary movements, so monitoring for this is essential. Levodopa does not cure Parkinson's disease or prevent its progression; it helps manage symptoms. While levodopa can improve symptoms, the onset of action is not typically rapid, and it may take some time for optimal effect.
Question 5 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.