ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting in the care of a client admitted for an acetaminophen overdose. Which of the following prescriptions should the nurse anticipate implementing?
Correct Answer: D
Rationale: The correct answer is D: Give acetylcysteine. Acetylcysteine is the antidote for acetaminophen overdose as it helps replenish glutathione stores and prevent liver damage. Naloxone (
A) is used for opioid overdose, not acetaminophen. Monitoring amylase and lipase (
B) is for pancreatitis, not acetaminophen overdose. Obtaining a chest x-ray (
C) is not necessary for acetaminophen overdose. Giving acetylcysteine (
D) is the priority intervention for acetaminophen overdose to prevent liver toxicity.
Question 2 of 5
A nurse is reinforcing teaching about cyclosporine with a client who is postoperative following a kidney transplant. Which of the following statements indicates an understanding of the information?
Correct Answer: D
Rationale: The correct answer is D: "I will call my doctor if I have a sore throat." This statement indicates an understanding of the potential side effects of cyclosporine, one of which is immunosuppression leading to increased susceptibility to infections. By recognizing the importance of reporting a sore throat promptly, the client demonstrates awareness of the need for close monitoring and early intervention to prevent serious complications.
Incorrect choices:
A: Taking ibuprofen can interact with cyclosporine and is not recommended.
B: Getting out of bed slowly is a general precaution but not specific to cyclosporine.
C: Hair loss is not a common side effect of cyclosporine.
E, F, G: No information is provided for these choices.
Question 3 of 5
A nurse is collecting data from a client who states she recently started taking garlic as an herbal supplement. The nurse should advise the client to stop taking garlic due to a potential reaction with which of the following client medications?
Correct Answer: B
Rationale: The correct answer is B: Warfarin. Garlic can interact with warfarin, an anticoagulant, potentially increasing the risk of bleeding due to its antiplatelet effects. Garlic can enhance the effects of warfarin, leading to an increased risk of bleeding complications. Dicloxacillin (
A) is an antibiotic, Esomeprazole (
C) is a proton pump inhibitor, and Hydrochlorothiazide (
D) is a diuretic, none of which have significant interactions with garlic.
Question 4 of 5
A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?
Correct Answer: B
Rationale: The correct answer is B: Decreased uric acid. Allopurinol is used to treat high levels of uric acid in the blood, which can lead to conditions like gout. A decrease in uric acid levels indicates that the medication is effectively lowering the client's uric acid levels. Triglycerides (choice
A) are not directly affected by allopurinol. Albumin (choice
C) and potassium (choice
D) levels are not typically influenced by allopurinol therapy.
Question 5 of 5
A nurse is preparing to administer 0800 medications to a client. The medication administration record (MAR) states 'phenobarbital' and the medication the pharmacy supplied is pentobarbital. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Check the prescription in the client's medical record. This is the appropriate action for the nurse to take because it ensures that the medication being administered matches the prescription ordered by the healthcare provider. By verifying the prescription in the client's medical record, the nurse can confirm if pentobarbital is indeed the correct medication prescribed for the client. Checking the MAR alone may not provide the necessary information about the prescribed medication. Asking the client about previous medications or allergies (choices A, B,
C) may not be reliable sources of information regarding the specific prescription.
Therefore, option D is the most appropriate and logical course of action in this situation.