ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a client who had abdominal surgery. The client is grimacing and has a respiratory rate of 24/min. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Check the client's current level of pain. The nurse should assess the client's pain first to determine the cause of grimacing and tachypnea. Pain after abdominal surgery can indicate complications like infection or inadequate pain management. Addressing pain is a priority to ensure the client's comfort and prevent further complications. Options A, B, and D do not address the underlying issue of pain and are therefore not the most appropriate actions. Offering a cold compress or playing music may provide temporary relief but do not address the root cause. Repositioning may help with comfort but should come after assessing and addressing the pain.
Question 4 of 5
A nurse is reinforcing discharge teaching with a client who has a prescription for rifampin for the treatment of tuberculosis (TB). Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Take the medication on an empty stomach. Rifampin is best absorbed when taken on an empty stomach, usually 1 hour before or 2 hours after meals. This maximizes its effectiveness in treating TB.
Choice B is incorrect because discoloration of body fluids (including saliva) is a known side effect of rifampin and does not indicate the need to discontinue the medication.
Choice C is incorrect because the client should not return for another TB skin test in 3 months unless specifically instructed by the healthcare provider.
Choice D is incorrect because treatment for TB usually lasts for several months, not just 1 week.
Question 5 of 5
A nurse in a mental health facility is collecting data from a client taking lithium. Which of the following information should the nurse report to the provider as an indication of lithium toxicity?
Correct Answer: D
Rationale: The correct answer is D: Slurred speech. Lithium toxicity can manifest as neurological symptoms such as slurred speech due to its effects on the central nervous system. A dry cough (
A) is not typically associated with lithium toxicity. Elevated blood pressure (
B) may be a sign of other conditions but is not specific to lithium toxicity. Stooped posture (
C) is more indicative of musculoskeletal issues rather than lithium toxicity. In summary, slurred speech is a key neurological symptom of lithium toxicity, making it the correct choice in this scenario.