ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication list of a client who has a new prescription for tetracycline. The nurse should instruct the client to take which of the following medications 3 hr before or after taking the tetracycline?
Correct Answer: B
Rationale: No specific timing restrictions with tetracycline. Tetracycline absorption is reduced when taken with antacids, so they should be taken 3 hours before or after tetracycline. No specific timing restrictions with tetracycline. No specific timing restrictions with tetracycline.
Question 2 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.
Question 3 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: C
Rationale: This medication is a stool softener and is not contraindicated for hypertension. This medication is an expectorant and is not contraindicated for hypertension. Pseudoephedrine is a decongestant that can increase blood pressure and is contraindicated for clients with hypertension. Omeprazole is a proton pump inhibitor used to reduce stomach acid and is not contraindicated for hypertension.
Question 4 of 5
A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: It is premature to change medications after only 6 days, as antidepressants may take several weeks to show therapeutic effects. Dose adjustments should be done cautiously, and waiting for the full therapeutic effect is important before making changes. Administration instructions do not significantly impact the speed of therapeutic effects. This is the correct answer because amitriptyline is a tricyclic antidepressant that takes 2 to 4 weeks to reach its full effect.
Question 5 of 5
A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Rinsing the mouth out after each dose is necessary for inhaled corticosteroids, not oral ones, to prevent oral thrush and other infections. Prednisone is typically taken with food to minimize gastrointestinal irritation. Prednisone is a corticosteroid that can cause bone loss and osteoporosis when used for long-term management of chronic asthma.
Therefore, the client should take a calcium supplement to prevent or reduce the risk of these complications. Weight gain, rather than weight loss, is a common side effect of prednisone use.