ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse in a provider's office is reviewing the laboratory findings of client who has been taking gemfibrozil for 3 months. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Reduced triglycerides. Gemfibrozil is a medication commonly used to lower triglyceride levels. It works by decreasing the production of triglycerides in the liver and increasing the removal of triglycerides from the blood.
Therefore, after taking gemfibrozil for 3 months, the nurse should expect a reduction in the client's triglyceride levels as a positive outcome of the medication.
Now, let's analyze why the other choices are incorrect:
A: Increased serum creatinine - Gemfibrozil is not known to affect creatinine levels. It primarily targets lipid levels.
B: Reduced serum calcium - Gemfibrozil does not have an effect on calcium levels.
C: Increased Hgb - Gemfibrozil is not associated with an increase in hemoglobin levels. It primarily targets lipid levels.
In summary, the correct answer is D because gemfibrozil is expected to reduce triglyceride levels, while the other choices are incorrect
Question 2 of 5
A nurse is collecting data from a client who is taking sumatriptan. Which of the following reports indicates a therapeutic response to the medication?
Correct Answer: D
Rationale: The correct answer is D: Absence of headache. Sumatriptan is a medication used to treat migraines. A therapeutic response would be the absence of headache, as this indicates that the medication is effectively managing the migraine symptoms. Increased bone mass (
A) is unrelated to sumatriptan. Relief of chest pain (
B) is not a common indication of sumatriptan. Improved mood (
C) is not a direct effect of sumatriptan.
Therefore, the absence of headache (
D) is the most relevant and expected therapeutic response to sumatriptan.
Question 3 of 5
A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?
Correct Answer: C
Rationale: The correct answer is C: Tremors. Diazepam is a benzodiazepine, and sudden discontinuation can lead to withdrawal symptoms such as tremors. Benzodiazepine withdrawal symptoms often include tremors, anxiety, insomnia, and in severe cases, seizures. Hypotension (
A) is not a common withdrawal symptom of benzodiazepines. Anorexia (
B) is not a typical presentation of benzodiazepine withdrawal. Drowsiness (
D) is more characteristic of benzodiazepine use rather than withdrawal.
Question 4 of 5
A nurse is collecting data from a client who is taking lithium carbonate to treat bipolar disorder. For which of the following findings should the nurse monitor and report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Tremor. Lithium carbonate is known to cause tremors as a side effect. The nurse should monitor and report tremors promptly to prevent worsening or potential lithium toxicity. Bruising (
A) is not typically associated with lithium. Constipation (
C) is not a common side effect of lithium. Hypoglycemia (
D) is not directly related to lithium use.
Question 5 of 5
A nurse is preparing to administer 1 L of IV fluid over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 167 mL/hr
Rationale:
To calculate the IV pump rate, divide the total volume (1L = 1000mL) by the total time in hours (6hr).
1000mL / 6hr = 166.67 mL/hr, rounded to the nearest whole number is 167 mL/hr.
This rate ensures the administration of 1L over 6 hours.
Option A: Incorrect as it does not match the calculated rate.
Options B-G: Irrelevant as they do not align with the correct calculation.