ATI RN
ATI NUR 229 Pharmacology Test 1 OEK Questions
Extract:
Question 1 of 5
Fluticasone (Flonase) a nasal glucocorticoid has been prescribed for a client with allergic rhinitis. The nurse teaches the client which is the most common side effect of continuous use.
Correct Answer: A
Rationale: Fluticasone can dry nasal mucosa, leading to nosebleeds with continuous use. Rhinorrhea, dizziness, and hallucinations are not common side effects.
Question 2 of 5
The sympathetic nervous system postganglionic neuron releases what neurotransmitter?
Correct Answer: C
Rationale: Postganglionic neurons in the sympathetic nervous system release norepinephrine, which mediates the 'fight or flight' response. Acetylcholine is released by preganglionic neurons, not postganglionic. Arginine is an amino acid, not a neurotransmitter.
Question 3 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.
Question 4 of 5
A nurse is providing discharge teaching to a client who has asthma and new prescriptions for beclomethasone and albuterol, both by inhaler. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Albuterol, a bronchodilator, should be used before beclomethasone, a corticosteroid, to open airways and enhance corticosteroid delivery. Beclomethasone is not for acute symptoms, and timing is less critical than sequence.
Question 5 of 5
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Holding the breath for 10 seconds after inhaling albuterol allows the medication to reach deep into the lungs, maximizing effectiveness. Other actions reflect incorrect inhaler technique.