ATI LPN
ATI PN Pharmacology 2020 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: The correct answer is B: Antacid. Tetracycline should be taken on an empty stomach for optimal absorption. Antacids containing calcium, aluminum, magnesium, or iron can bind to tetracycline and decrease its absorption.
Therefore, the client should take the antacid 3 hours before or after taking tetracycline to avoid this interaction.
Choice A (Hydrochlorothiazide) does not have a significant interaction with tetracycline.
Choices C (Lovastatin) and D (Acetaminophen) do not require specific timing in relation to tetracycline.
Question 2 of 5
A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?
Correct Answer: D
Rationale: The correct answer is D because sexually active female clients must use two forms of birth control during treatment with isotretinoin to prevent pregnancy due to the high risk of severe birth defects. Option A is incorrect as a negative pregnancy test, not a mammogram, is required before starting therapy. Option B is incorrect as Papanicolaou tests are not part of the iPLEDGE program. Option C is incorrect as vitamin A supplements are not a requirement.
Question 3 of 5
A nurse is caring for a client who is receiving acetaminophen for mild pain. The nurse should monitor the client for which of the following adverse effects of this medication?
Correct Answer: B
Rationale:
Correct
Answer: B - Jaundice.
Rationale:
1. Acetaminophen can cause liver toxicity, leading to jaundice.
2. Jaundice is a common sign of liver damage.
3. Monitoring for jaundice is crucial to detect liver complications early.
Other
Choices:
A: Fever - Not a common adverse effect of acetaminophen.
C: Diarrhea - Unlikely to be caused by acetaminophen.
D: Tinnitus - Not a known adverse effect of acetaminophen.
Question 4 of 5
A nurse is preparing to administer enoxaparin subcutaneously to a client using a prefilled syringe. The nurse should plan to use which of the following techniques when administering this medication?
Correct Answer: D
Rationale:
Correct
Answer: D. Inject the medication into abdominal tissue.
Rationale: Enoxaparin is a low molecular weight heparin that is typically administered subcutaneously. The abdomen is a common and recommended injection site for subcutaneous injections due to the abundant subcutaneous tissue, allowing for proper absorption and minimizing the risk of tissue damage or nerve injury. Additionally, rotating injection sites helps prevent tissue irritation.
Incorrect
Choices:
A: Aspirating prior to injecting the medication is not necessary for subcutaneous injections as it is for intramuscular injections.
B: Gently massaging the site following the injection is not recommended as it may lead to bruising or discomfort.
C: Expelling air bubbles is more relevant for intravenous injections and not typically necessary for subcutaneous injections.
Question 5 of 5
A nurse who is preparing to administer medications to a client is unfamiliar with a medication that the client takes at home. Which of the following resources should the nurse consult?
Correct Answer: D
Rationale: The correct answer is D: Nursing drug guide. Consulting a nursing drug guide is essential for verifying medication information, such as indications, dosage, side effects, and contraindications. It provides comprehensive and accurate information to ensure safe medication administration. Pharmaceutical sales representatives may have biased information and are not healthcare professionals. Nursing team members may not have the specific knowledge required. The client's family may not have accurate information and may not be reliable sources for medication details. Consulting a nursing drug guide is the most reliable and evidence-based resource for medication information.