ATI RN
ATI NUR 229 Pharmacology Test 1 OEK Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: You should change positions slowly. This instruction is important because codeine can cause dizziness and drowsiness, increasing the risk of falls or accidents. By changing positions slowly, the client can prevent falls and injuries. Option A is incorrect as constipation, not diarrhea, is a common side effect of codeine. Option C is incorrect as alcohol should be avoided while taking codeine, not limited to 12 ounces daily. Option D is incorrect as taking codeine on an empty stomach can increase the risk of nausea.
Question 2 of 5
A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching?
Correct Answer: B,D
Rationale: The correct answers are B and D. Providing a list of the client's current medications during admission helps prevent errors in prescribing. During the change of shift report, sharing medication information ensures continuity of care.
Choice A is incorrect because over-the-counter medications should be included in reconciliation.
Choice C is incorrect as reconciliation at discharge is crucial.
Choices E, F, and G are not relevant to medication reconciliation teaching.
Question 3 of 5
The Parasympathetic Nervous System utilizes which neurotransmitter?
Correct Answer: B
Rationale: The correct answer is B: Acetylcholine. The parasympathetic nervous system utilizes acetylcholine as its primary neurotransmitter to transmit signals between nerve cells. Acetylcholine helps in slowing down heart rate, promoting digestion, and relaxing the body. Dopamine (
A) is involved in reward and pleasure, not specifically in the parasympathetic system. Norepinephrine (
C) and epinephrine (
D) are mainly associated with the sympathetic nervous system and the fight-or-flight response. Make sure to differentiate between neurotransmitters for sympathetic and parasympathetic systems.
Question 4 of 5
A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider?
Correct Answer: C
Rationale: The correct answer is C: Depression. Montelukast, a leukotriene receptor antagonist used to manage asthma, has been associated with neuropsychiatric effects, including depression. The nurse should instruct the client to report any signs of depression to their provider promptly. Constipation (
A), blurred vision (
B), and palpitations (
D) are not commonly associated with montelukast use for asthma.
Question 5 of 5
A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct instruction is to rinse the mouth after administration (
Choice
D). This is important because inhaled corticosteroids like beclomethasone can cause oral thrush, which is a fungal infection in the mouth. Rinsing the mouth helps reduce the risk of developing this side effect. Checking the pulse (
Choice
A) is not directly related to inhaled corticosteroid use. Limiting caffeine intake (
Choice
B) is not necessary for beclomethasone use. Taking the medication with meals (
Choice
C) is not a requirement for inhaled corticosteroids.