ATI Capstone NCLEX Review Questions and Answers

4 steps of Critical Thinking - correct answer--1. identify and analyze the problem; 2. recall info you need to resolve the problem; 3. evaluate each option; 4. select the correct or priority option 5-HT3 receptor antagonists (serotonin antagonists) - correct answer--Dolasetron (Anzemet) Granisetron (Kytril, Sancuso) Ondansetron (Zofran) Tropisetron (Navoban) It's 'Tron' to the rescue! a 45-year-old client is taking methylprednisolone. What pharmacological action should the nurse expect with this therapy? - correct answer--corticosteroids, such as methylprednisolone, will suppress airway mucus production; therapy should promote responsiveness of beta2 receptors. Adverse effects of this medication include bone loss and formation of candidiasis a 52-year-old client with a Hx of angina has been prescribed transdermal nitroglycerin. Which of the following adverse effects is not seen with this therapy? - correct answer-- productive cough; nitroglycerin therapy does not directly have an effect lung function. Physiologically, vasodilation should effect capillary perfusion and decrease lung secretions. a client has been prescribed lisinopril. What medication interaction should the nurse instruct this client about? - correct answer--Potassium supplements and potassiumsparing diuretics increase the risk of hyperkalemia in clients taking ACE inhibitors such as lisinopril. Clients should only take potassium supplements if prescribed by the provider. Clients should also avoid salt substitutes that contain potassium. a client is prescribed propranolol. What client history findings would require the nurse to clarify this prescription? - correct answer--asthma; clients with asthma should avoid Beta2 Blockade agents such as propranolol. Bronchoconstriction can occur. Clients with asthma should be administered a beta1selective agent. A client is taking disulfiram daily for abstinence maintenance. What is an adverse effect of disulfiram? - correct answer--hepatotoxicity a nurse is caring for a client with prescribed digoxin. What should alert the nurse to possible digitalis toxicity? - correct answer--Anorexia, fatigue and weakness are signs of potential digitalis toxicity. GI effects of digitalis toxicity include anorexia, nausea, vomiting and abdominal pain. CNS effects include fatigue, weakness, vision changes