ATI LPN
ATI PN Pharmacology 2020 Questions
Question 1 of 5
A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide. The client reports feeling anxious and having profuse sweating. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Glyburide lowers blood glucose; anxiety and sweating suggest hypoglycemia, so a decreased glucose level is expected. Chvostek's sign, edema, and reflexes relate to other conditions.
Question 2 of 5
A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Renal excretion slows with age, increasing drug levels and side effect risks in older adults. Hepatic metabolism slows (not speeds), brain sensitivity varies, and gastric emptying decreases.
Question 3 of 5
A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?
Correct Answer: D
Rationale: Carbamazepine, an anticonvulsant, is commonly used to reduce nerve pain in trigeminal neuralgia. Fluoxetine (antidepressant), methylphenidate (stimulant), and lorazepam (anxiolytic) are not indicated for this condition.
Question 4 of 5
A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Creatinine 3.1 mg/dL indicates kidney damage, a serious vancomycin side effect requiring immediate reporting. Loose stools, slight WBC elevation, and tachycardia are less urgent.
Question 5 of 5
A nurse is collecting data from a client following his first dose of captopril. The client's blood pressure is 88/60 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Placing the client supine increases cerebral blood flow to counter hypotension (88/60 mm Hg) from captopril, a priority action. Standing or sitting checks could worsen symptoms, and an IV bolus is secondary.