ATI LPN
LPN Pharmacology Texas University Questions
Extract:
Question 1 of 5
A client who wants to quit smoking has a new prescription for varenicline [Chantix]. The nurse will instruct the client to notify the provider immediately with which of the following?
Correct Answer: D
Rationale: Varenicline can cause serious mood changes or suicidal thoughts, requiring immediate reporting. Cravings, nausea, and dry mouth are less urgent.
Question 2 of 5
The nurse is screening a client with a new prescription for beta blocker adrenergic propranolol [Inderal LA]. The nurse recognizes that this medication is contraindicated in the presence of which of the following conditions?
Correct Answer: C
Rationale: Propranolol can cause bronchoconstriction, contraindicating it in asthma. It's used for angina, tachycardia, and not affected by gout.
Question 3 of 5
The nurse is preparing to administer the client's daily digoxin with furosemide. The nurse should closely monitor laboratory values for which of the following?
Correct Answer: B
Rationale: Furosemide causes potassium loss, increasing digoxin toxicity risk; hypokalemia is a key concern. Other imbalances are less directly related.
Question 4 of 5
The nurse is preparing a client for discharge with a medical prescription for the HMG-CoA inhibitor, lovastatin [Mevacor]. Which statements from the client demonstrate a clear understanding of the teaching provided by the nurse?
Correct Answer: A
Rationale: Lovastatin works best at night (cholesterol synthesis peak) and grapefruit juice increases toxicity risk. It's taken with food, greens are fine, and alcohol/potassium aren't emphasized.
Question 5 of 5
The nurse is preparing to administer enoxaparin (Lovenox) to a client before hip replacement surgery. Which of the following conditions would prevent the nurse from administering this drug?
Correct Answer: B
Rationale: A bleeding disorder contraindicates enoxaparin due to hemorrhage risk. It's used for DVT/PE prevention, and a HR of 60 is normal.