ATI RN
ATI NUR 229 Pharmacology Test 1 OEK Questions
Extract:
Question 1 of 5
A patient complains of worsening nasal congestion despite the use of oxymetazoline (Afrin) nasal spray every 2 to 4 hours for the past 5 days. The nurse's response is based on the knowledge that
Correct Answer: C
Rationale: Prolonged use of oxymetazoline can cause rebound congestion (rhinitis medicamentosa), worsening symptoms due to nasal vessel dependence. Other options misrepresent its use or effects.
Question 2 of 5
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: Acetaminophen can cause liver toxicity, with jaundice as a key symptom. Tinnitus, hyperglycemia, and muscle pain are not typical adverse effects.
Question 3 of 5
A nurse is giving discharge instructions to a patient who has been ordered Guaifenesin (Mucinex) to take BID for 3 days after discharge. What response by the patient lets her know that he understands how to take his medication?
Correct Answer: C
Rationale: Guaifenesin is prescribed BID, meaning twice daily. Taking it with a full glass of water aids in thinning mucus.
Choice C correctly reflects the dosing frequency and administration method, indicating understanding.
Choice A is incorrect as guaifenesin promotes a productive cough.
Choice B misstates the frequency, and
Choice D incorrectly suggests reliance on a nurse for administration.
Question 4 of 5
The nurse is reviewing the medication record of a patient with asthma and notes the patient is taking inhaled fluticasone (Flovent). The nurse know that inhaled fluticasone (Flovent) is helpful in the treatment of asthma in what way?
Correct Answer: A
Rationale: Fluticasone, an inhaled corticosteroid, reduces airway inflammation, a key factor in asthma. It's for long-term control, not acute relief, bronchodilation, or cardiovascular effects.
Question 5 of 5
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: Effective charting notes improved nasal congestion, tolerance without distress, and proper administration. Options A, C, and D reflect these, indicating the drops' mucolytic effect.