Questions 25

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ATI Nurs 180 Pharmacology Exam Questions

Question 1 of 5

A client is started on gemfibrozil (Lopid) to assist in the lowering of triglyceride level. Which of the following side effects is associated with gemfibrozil (Lopid)?

Correct Answer: D

Rationale: Gemfibrozil increases biliary cholesterol, raising gallstone risk, a known side effect requiring monitoring.

Extract:

Medical History
Medications
Patient admitted 1 days ago with complaints of swelling, redness, and pain in left leg.
A nurse is taking care of a client with diagnosis of deep vein thrombosis (DVT) receiving anticoagulant therapy.


Question 2 of 5

Based on the patient's current medications, the nurse knows to monitor [Dropdown Group 1] for heparin and [Dropdown Group 2] for warfarin sodium.

aPTT
PT-INR
CBC
No lab monitoring is needed

Correct Answer: A,B

Rationale: aPTT monitors heparin's anticoagulant effect, while PT-INR tracks warfarin's impact on clotting factors, ensuring therapeutic levels and safety.

Extract:


Question 3 of 5

The nurse is caring for a client who is taking atorvastatin (Lipitor) to assist in lowering his LDL cholesterol. Which lab value must be routinely done with this medication to prevent complications?

Correct Answer: C

Rationale: Atorvastatin can elevate liver enzymes, so routine liver function tests detect potential hepatotoxicity early.

Question 4 of 5

A nurse prepares to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: A

Rationale: Calculated: 198 lb ÷ 2.2 = 90 kg; 15 mg/kg/day × 90 kg = 1350 mg/day; 1350 ÷ 2 = 675 mg per dose.

Question 5 of 5

The nurse is caring for a client who experienced a dry-non productive cough associated with an ACE inhibitor. Which of the following drugs is an alternative to ACE inhibitors?

Correct Answer: A

Rationale: Losartan, an ARB, is an effective alternative to ACE inhibitors, managing hypertension without causing a dry cough, unlike beta-blockers, diuretics, or vasodilators.

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