ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?
Correct Answer: D
Rationale: Hydrochlorothiazide can cause electrolyte imbalances (e.g., hypokalemia), requiring monitoring. Others aren't directly affected.
Extract:
Vital Signs
Nurses' Notes
History and Physical
Initial visit:
Temperature 36.5° C (97.7° F)
Heart rate 68/min
Blood pressure 116/70 mm Hg
Respiratory rate 16/min
SpO2 98% on room air
Follow-up visit 2 weeks later:
Temperature 36.7° C (98.1° F)
Heart rate 86/min
Blood pressure 130/80 mm Hg
Respiratory rate 18/min.
SpO2 99% on room air
Question 2 of 5
Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication.
Correct Answer: A,B,C,D,E,F
Rationale: Triptans like sumatriptan relieve headaches within 1-2 hours , may cause chest pressure , have a 200 mg/day limit , allow a second dose after 2 hours , are Category C and unsafe in pregnancy (E), and commonly cause fatigue (F). Rash (G) isn't typical unless allergic.
Extract:
Question 3 of 5
A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?
Correct Answer: D
Rationale: Sublingual nitroglycerin acts within 1-5 minutes. It doesn't slow heart rate , food delays absorption , and dosing is every 5 minutes, not 10 .
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina. The nurse should inform the client that which of the following manifestations is an adverse effect of the medication?
Correct Answer: A
Rationale: Headache is common due to vasodilation. Polyuria , tinnitus , and hypertension aren't typical.
Extract:
Nurses' Notes
Plan of Care
Provider Prescriptions
Vital Signs
6 months ago:
The client was diagnosed with epilepsy during childhood. The client reports not having seizures for 2 years. The client has weaned off all seizure medications. The client was informed to return to the office for a follow-up in 6 months and to call the office if seizure activity resumes.
Today:
The client reports having a seizure this morning. Provider aware and new prescription obtained.
Question 5 of 5
Click to highlight the findings that require immediate follow-up as contraindications to the prescribed prescription (phenytoin).
| Client reports having three to four alcoholic beverages a couple times per week. |
| Last bowel movement was 3 days ago |
| Last menstrual period was 3 months ago |
| Client takes diazepam as needed for anxiety. |
Correct Answer: A,C
Rationale: Alcohol alters phenytoin metabolism, and last period 3 months ago may indicate pregnancy, a contraindication due to teratogenicity. Constipation and diazepam need monitoring but aren't immediate contraindications.