ATI LPN
ATI LPN Pharmacology N113 Exam Questions
Question 1 of 5
A nurse is caring for a client who is taking oral erythromycin. Which of the following statements by the nurse indicates the client is experiencing a common adverse effect of this medication?
Correct Answer: C
Rationale: The correct answer is C. Yellow emesis is a common adverse effect of oral erythromycin due to its irritation of the gastrointestinal tract, leading to nausea and vomiting. This occurs because erythromycin stimulates gastrointestinal motility. A: Ringing in the ears is not a common adverse effect of erythromycin. B: Constipation with abdominal cramping is not a common adverse effect of erythromycin; rather, it can cause gastrointestinal upset. D: Swollen lips are not a common adverse effect of erythromycin; this may indicate an allergic reaction.
Question 2 of 5
A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mEq/L. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Administer the regular dose of lithium. A lithium level of 1.2 mEq/L is within the therapeutic range (0.6-1.2 mEq/L) for treating bipolar disorder. Thus, the nurse should continue administering the regular dose of lithium. Contacting the laboratory to repeat the lithium level (
B) is unnecessary as the level is already within the therapeutic range. Obtaining an ECG and instituting seizure precautions (
C) is not indicated at this lithium level. Contacting the provider to prescribe an increased dose of lithium (
D) is not needed since the current level is therapeutic.
Question 3 of 5
A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?
Correct Answer: D
Rationale: The correct answer is D: Lorazepam. Lorazepam is a benzodiazepine used to manage alcohol withdrawal symptoms, including delirium. It acts by calming the central nervous system and reducing agitation and anxiety. Methadone (
A) is used for opioid withdrawal, not alcohol withdrawal delirium. Acamprosate (
B) is used to maintain abstinence in alcohol-dependent patients, but not for acute withdrawal symptoms. Disulfiram (
C) is an aversion therapy drug used to deter alcohol consumption by causing unpleasant reactions.
Therefore, it is not appropriate for managing alcohol withdrawal symptoms.
Question 4 of 5
A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?
Correct Answer: D
Rationale: The correct answer is D: Dorsal recumbent position. This position allows for easy access to the vaginal area for administration of the cream. It also provides comfort and privacy to the client. Prone position (
A) is lying face down and is not suitable for vaginal administration. Orthopneic position (
B) is sitting upright to ease breathing, not relevant for vaginal cream. Sims' position (
C) is lying on the left side with the right knee bent, primarily used for rectal exams.
Question 5 of 5
A nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Which of the following food choices should the nurse identify as having the highest tyramine content?
Correct Answer: A
Rationale: The correct answer is A: Avocadoes. Avocadoes have high tyramine content, which can interact with MAOIs and cause a hypertensive crisis. Other choices (B-
D) have low to negligible tyramine levels and are safe to consume with MAOIs. It is crucial to avoid high-tyramine foods to prevent adverse reactions when taking MAOIs.