ATI RN
ATI NUR 229 Pharmacology Test 1 OEK Questions
Extract:
Question 1 of 4
A nurse is teaching a client who has a new prescription for dimenhydrinate. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Monitor for dizziness. Dimenhydrinate is an antihistamine commonly used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness or vertigo. The nurse should include instructions to monitor for dizziness as it is a common side effect of this medication. Option A is incorrect because dimenhydrinate is usually administered 30 minutes to 1 hour before the desired effect. Option B is incorrect as it does not typically cause an increase in salivation. Option D is incorrect as diarrhea is not a common side effect of dimenhydrinate.
Question 2 of 4
A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Acetaminophen is known to cause liver toxicity, which can manifest as jaundice. The liver metabolizes acetaminophen, and in excessive amounts, it can lead to liver damage. Monitoring for signs of jaundice, such as yellowing of the skin and eyes, is crucial. Tinnitus (choice
A) is not commonly associated with acetaminophen use. Hyperglycemia (choice
B) is not a typical adverse reaction of acetaminophen. Muscle pain (choice
D) is not a common side effect of acetaminophen.
Question 3 of 4
A nurse has been administering mucolytic-like Hypertonic Nasal drops to an infant she has been caring for. How can she chart the effectiveness of this medication in her narrative note?
Correct Answer: A,C,D
Rationale: The correct answer is A, C, and D. A is correct as it indicates the infant tolerated the medication without adverse effects like shortness of breath or fever. C is relevant as it reflects the infant's tolerance to the insertion of the drops. D is important as it specifies the correct administration of the drops in both nares.
Choices B and E are incorrect as they do not directly assess the effectiveness of the medication and are not relevant to charting its success.
Question 4 of 4
A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack?
Correct Answer: D
Rationale: The correct answer is D: Albuterol. Albuterol is a short-acting beta-agonist bronchodilator used for quick relief during an acute asthma attack by relaxing the airway muscles. Beclomethasone (
A) is an inhaled corticosteroid for long-term control. Formoterol (
B) and Salmeterol (
C) are long-acting beta-agonists used for maintenance therapy, not acute attacks.
Therefore, the nurse should instruct the client to use Albuterol for aborting an acute asthma attack.
Question 5 of 4
A pregnant patient asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the patient?
Correct Answer: B
Rationale: The correct answer is B: Second-generation antihistamines are safer than first-generation antihistamines. Second-generation antihistamines, such as loratadine and cetirizine, are preferred in pregnancy due to their lower risk of causing sedation and adverse effects compared to first-generation antihistamines like diphenhydramine. They have been studied more extensively in pregnant women and have a better safety profile.
Choice A is incorrect because the safety of antihistamines in pregnancy is not completely understood.
Choice C is incorrect as some antihistamines are safe during pregnancy, not just when breastfeeding.
Choice D is incorrect as antihistamines are generally safe in pregnancy, but caution is advised in the third trimester.