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N211 Pharmacology Exam
ATI N211 Pharmacology Exam
Total Questions : 50
Showing 10 questions Sign up for moreA nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?
Explanation
A. While it is important to identify the cause of the exacerbation, the priority is to address the immediate respiratory distress.
B. Administering a short-acting beta-agonist (SABA) is the priority intervention because it provides rapid bronchodilation, helping to relieve the acute respiratory distress.
C. Inhaled glucocorticoids are useful for long-term management but are not the immediate priority in an acute situation.
D. Obtaining a peak flow reading can help assess the severity of the asthma attack but does not provide immediate relief.
A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?
Explanation
A. Montelukast is taken once daily in the evening to help control asthma symptoms.
B. Montelukast is not used as a rescue medication during an asthma attack; it is for maintenance therapy.
C. A spacer device is used with inhaled medications, not with montelukast, which is taken orally.
D. Rinsing the mouth is recommended after using inhaled corticosteroids, not montelukast.
A nurse is teaching a client about adverse effects of zolpidem. Which of the following adverse effects should the nurse include in the teaching?
Explanation
A. Nighttime sweating is not a common adverse effect of zolpidem.
B. Daytime sleepiness is a common adverse effect of zolpidem, which is a sedative-hypnotic used to treat insomnia.
C. Double vision is not typically associated with zolpidem.
D. Change in taste is not a common adverse effect of zolpidem.
A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority?
Explanation
A. Taking a nap may be a normal response to medication but is not a priority concern.
B. Nausea is a common side effect but is not a priority compared to signs of potential bleeding.
C. Dry mouth is a common side effect and can be managed with symptomatic treatment.
D. New bruises can indicate a serious adverse effect, such as bone marrow suppression leading to thrombocytopenia, which requires immediate attention.
A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?
Explanation
A. Carbonated beverages can interact with some medications, but they are not as commonly problematic as grapefruit juice.
B. Orange juice does not commonly interact with medications to the same extent as grapefruit juice.
C. Milk can affect the absorption of certain medications, but it is not as broadly problematic as grapefruit juice.
D. Grapefruit juice is known to interact with many medications, potentially leading to dangerous levels of the drug in the bloodstream due to its effect on the cytochrome P450 enzyme system.
A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the following adverse effects of this medication?
Explanation
A. Alprazolam, a benzodiazepine, typically causes hypotension rather than hypertension.
B. Hearing loss is not a known adverse effect of alprazolam.
C. Insomnia can occur, especially if the medication is not taken as prescribed or if the client experiences paradoxical reactions.
D. Bradycardia is not a common adverse effect of alprazolam; it is more likely to cause sedation and drowsiness.
A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Explanation
To calculate the infusion rate for an IV, the total volume to be infused (in this case, 1000 mL) is divided by the total time of infusion (8 hours). So, the calculation would be 1000 mL divided by 8 hours, which equals 125 mL per hour.
A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?
Explanation
A. Rebound pulmonary congestion is not a concern with prednisone discontinuation.
B. Gradual dose reduction is necessary to prevent adrenocortical insufficiency, as the body needs time to resume normal cortisol production.
C. Severe dehydration is not associated with prednisone discontinuation.
D. Hyperglycemia is a concern during prednisone use, but not specifically upon discontinuation.
A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the nurse?
Explanation
A. Whole milk is safe and does not interact with MAOIs.
B. Sliced apples are safe and do not interact with MAOIs.
C. Bologna and other processed meats contain tyramine, which can cause a hypertensive crisis when consumed with MAOIs.
D. Celery sticks are safe and do not interact with MAOIs.
A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?
Explanation
A. Acute pain typically causes an increase in blood pressure, not a decrease.
B. Acute pain often leads to decreased, not hyperactive, bowel sounds due to sympathetic nervous system activation.
C. Acute pain typically causes an increase in respiratory rate, not a decrease.
D. Increased heart rate is a common physiological response to acute pain due to the activation of the sympathetic nervous system.
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