ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Question 1 of 5
A nurse is collecting data from a client who is taking prednisone and self-administers insulin daily. The nurse should identify that which of the following findings indicates a medication interaction?
Correct Answer: B
Rationale: The correct answer is B: Hyperglycemia. Prednisone can increase blood sugar levels, and insulin is used to lower blood sugar levels. If the client is experiencing hyperglycemia while taking both medications, it indicates a possible medication interaction. Orthostatic hypotension (
A) is not typically associated with this medication combination. Paresthesia (
C) and jaundice (
D) are not commonly related to prednisone and insulin interactions.
Question 2 of 5
A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?
Correct Answer: C
Rationale: The correct answer is C: Lithium carbonate. Furosemide can decrease lithium excretion, leading to increased lithium levels and toxicity. Levothyroxine (
A), Cetirizine (
B), and Albuterol (
D) do not have significant interactions with furosemide. In summary, the other choices are incorrect because they do not pose a contraindication when taken concurrently with furosemide, unlike lithium carbonate.
Question 3 of 5
A nurse is administering phenytoin to a client. The nurse should monitor for which of the following adverse effects?
Correct Answer: B
Rationale: The correct answer is B: Bleeding gums. Phenytoin is an antiepileptic medication known to cause gingival hyperplasia, leading to bleeding gums. Monitoring for this adverse effect is crucial to prevent further complications. Tinnitus (
A) is associated with aspirin overdose. Jaundice (
C) is a potential adverse effect of liver-damaging medications. Deep vein thrombosis (
D) is not directly related to phenytoin administration.
Question 4 of 5
A nurse in a clinic receives a telephone call from a client who has tuberculosis and was prescribed rifampin 3 days ago. The client reports, 'My saliva and tears are red. What should I do?' Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: The correct response is A: "This is an expected adverse effect of the medication." Red discoloration of bodily fluids is a known side effect of rifampin. The medication can cause harmless discoloration of saliva, tears, sweat, and urine. It does not indicate an allergic reaction or a serious issue that requires stopping the medication.
Choice B is incorrect as stopping the medication abruptly is not necessary.
Choice C is incorrect as the duration of this side effect varies.
Choice D is incorrect as the discoloration is not related to the consumption of red meat.
Extract:
Nurses Notes
Plan of Care
Provider Prescriptions
Vital Signs
Admissions Assessment
6 months ago:
The client was diagnosed with epilepsy during childhood. The client reports not having seizures for 2 years. The client has weaned off all seizure medications. The client was informed to return to the office for a follow-up in 6 months and to call the office if seizure activity resumes
Today:
The client reports having a seizure this morning. Provider aware and new prescription obtained.
Question 5 of 5
Click to highlight the findings that require immediate follow-up as contraindications to the prescribed prescription (phenytoin).
| Client is a vegetarian and takes a multivitamin daily |
| Client reports having three to four alcoholic beverages a couple times per week |
| Last menstrual period was 3 months ago |
| Client takes diazepam as needed for anxiety |
Correct Answer: A,B,C,D
Rationale: [1,1,1,1]
The correct answer is A, B, C, D.
A: Vegetarian diet may lack sufficient Vitamin K, which interacts with phenytoin.
B: Alcohol increases phenytoin levels, leading to toxicity.
C: Missed periods could indicate pregnancy, a contraindication for phenytoin.
D: Diazepam increases sedation when combined with phenytoin.
Incorrect choices:
E, F, G: These choices do not directly interact with phenytoin or have contraindications.