ATI LPN
PN Pharmacology 2023 Questions
Extract:
Nurses Notes 0830: Walk-in clinic visit for adolescent client who is accompanied by their guardian. The guardian states, 'My child has a partner, and I want to be sure that they have some birth control before becoming sexually active': The client states, 'I want to be sure I don't get pregnant or get an STI.' 0915: Witnessed consent signed by client and guardian. Assisted provider with placement of intrauterine device (IUD). Client tolerated procedure well. Provider Prescriptions 0930: Human Papillomavirus (HPV) vaccine, administer first dose today IM
Question 1 of 5
Which of the following client statements indicate that the nurse's reinforced teaching about the immunization was effective? Select all that apply.
Correct Answer: D, F, G
Rationale: The correct answers are D, F, and G. D is correct because the client showing understanding of needing to return for another shot in 2 months indicates comprehension of the immunization schedule. F is correct because understanding that the shot can prevent some cancers shows the client grasps the potential benefits of the immunization. G is correct because suggesting the partner should also get the shot demonstrates understanding of the importance of herd immunity and preventing the spread of diseases.
Choices A, B, C, and E are incorrect because they demonstrate misconceptions or lack of understanding regarding the purpose and effects of the immunization.
Extract:
Question 2 of 5
A nurse is collecting data from a client who is taking high doses of aspirin to treat rheumatoid arthritis. Which of the following findings indicates that the client has salicylism?
Correct Answer: A
Rationale: The correct answer is A: Tinnitus. Salicylism is an aspirin toxicity characterized by symptoms like tinnitus, dizziness, and hearing loss. Tinnitus is a common early sign of salicylism due to its ototoxic effects. Nuchal rigidity (choice
B) is not typically associated with salicylism but rather with meningitis. Pharyngitis (choice
C) is inflammation of the throat and is not a common manifestation of salicylism. Pruritus (choice
D) refers to itching and is not a typical symptom of salicylism.
Therefore, the presence of tinnitus is the most indicative of salicylism in a client taking high doses of aspirin.
Question 3 of 5
A nurse is collecting data from a client who is taking ferrous sulfate. The nurse should report which of the following findings as an adverse effect of this medication?
Correct Answer: D
Rationale: The correct answer is D: Epigastric pain. Ferrous sulfate, an iron supplement, is known to cause gastrointestinal side effects, including epigastric pain. This is due to its irritant effect on the stomach lining. Tinnitus (
A) is associated with aspirin toxicity, hot flashes (
B) are not related to ferrous sulfate, and diplopia (
C) is not a common side effect of this medication. In summary, epigastric pain is the correct adverse effect to report because it is a known gastrointestinal side effect of ferrous sulfate, while the other choices are not typically associated with this medication.
Question 4 of 5
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Inject the medication into the subcutaneous tissue of your abdomen. Exenatide is a medication typically administered via subcutaneous injection into the abdomen. This route ensures proper absorption and effectiveness of the medication. Injecting in other areas may affect absorption. Contacting the provider for unexplained muscle pain (
A) is important but not specific to exenatide. Taking the medication at bedtime (
C) is not necessary as exenatide is usually taken before meals. Discarding excess medication after 60 days (
D) is important for medication safety but not specific to administration instructions.
Question 5 of 5
A nurse is caring for a client who had abdominal surgery. The client is grimacing and has a respiratory rate of 24/min. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the client's current level of pain. The nurse should prioritize assessing the client's pain as grimacing and increased respiratory rate can indicate pain. By assessing the pain level first, the nurse can address the client's immediate needs and provide appropriate pain relief interventions. Option B is incorrect as distraction may not address the underlying cause of the client's discomfort. Option C is also incorrect as repositioning may not alleviate pain. Option D is incorrect as a cold compress may not be the appropriate intervention without assessing the cause of the pain first.