ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Inject the medication into the subcutaneous tissue of your abdomen. Exenatide is a medication typically administered via subcutaneous injection into the abdomen. This route ensures proper absorption and effectiveness of the medication. Injecting in other areas may affect absorption. Contacting the provider for unexplained muscle pain (
A) is important but not specific to exenatide. Taking the medication at bedtime (
C) is not necessary as exenatide is usually taken before meals. Discarding excess medication after 60 days (
D) is important for medication safety but not specific to administration instructions.
Question 3 of 5
A nurse is reinforcing teaching about the pledge program with a female client who has a new prescription for…. The nurse should tell the client that which of the following is a requirement of the program?
Correct Answer: C
Rationale: The correct answer is C: Sexually active female clients must use two forms of birth control during treatment. This requirement is crucial to prevent pregnancy while on the medication, which could harm the fetus. A Papanicolaou test every 6 months (
Choice
A) is important for monitoring cervical health but not a requirement of the program. Starting a daily supplement of vitamin A (
Choice
B) is not directly related to the program's requirements. A negative mammogram (
Choice
D) is not necessary for the program.
Question 4 of 5
A nurse in a provider's office is collecting data from a client who continues to have a migraine headache after taking sumatriptan orally 2 hr ago. Which of the following findings is the priority for the nurse to report?
Correct Answer: B
Rationale: The correct answer is B: Hypertension. The nurse should prioritize reporting hypertension because sumatriptan, a medication used to treat migraines, can potentially cause a rare but serious side effect of increasing blood pressure. Hypertension could lead to severe complications such as stroke or heart attack. Reporting this finding promptly allows for appropriate intervention.
Other choices are less concerning: A (tingling sensation) and C (flushing) are common side effects of sumatriptan, while D (dizziness) is a less urgent symptom compared to hypertension in this context.
Question 5 of 5
A nurse is caring for a client who has a new prescription for valproic acid. The nurse should review which of the following baseline laboratory values prior to administering the medication?
Correct Answer: B
Rationale: The correct answer is B: Liver function tests. Valproic acid is known to cause hepatotoxicity, so it is crucial to assess the client's baseline liver function before administering the medication to monitor for any potential liver damage. Arterial blood gases (
A) are not directly related to valproic acid therapy. Troponin levels (
C) are used to assess for cardiac muscle damage, which is not a common side effect of valproic acid. Blood glucose levels (
D) are not directly impacted by valproic acid.
Therefore, baseline liver function tests are the most important laboratory value to review before administering valproic acid.