ATI LPN
ATI LPN Pharmacology N113 Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years. The nurse notes choreiform movements, lip smacking, and spastic facial distortions. The nurse should document these findings as indicating which of the following conditions?
Correct Answer: D
Rationale: Tardive dyskinesia is a movement disorder characterized by involuntary, repetitive movements of the face and body, including choreiform movements (rapid, jerky movements), lip smacking, and spastic facial distortions. It often develops after long-term use of antipsychotic medications like chlorpromazine and can persist even after discontinuation of the medication.
Question 2 of 5
A nurse is reviewing a client's medication administration record. Which of the following medications should the nurse recognize as potentially interacting with the client's prescribed lithium?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can increase lithium levels by reducing renal clearance of lithium, leading to lithium toxicity. Monitoring lithium levels and adjusting the dose as necessary is essential when co-administered with furosemide.
Question 3 of 5
A nurse is collecting data from client who has just begun therapy with alprazolam to treat anxiety. The nurse should observe the client for which of the following adverse effects of this medication?
Correct Answer: C
Rationale: Sedation is a common side effect of alprazolam due to its CNS depressant properties. Patients often experience drowsiness, fatigue, and impaired cognitive function, especially when initiating therapy or when doses are increased.
Question 4 of 5
A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Correct Answer: A
Rationale: Respiratory depression is a potential side effect of magnesium sulfate toxicity. Administering calcium gluconate can antagonize the effects of magnesium on smooth muscle and cardiac tissue, helping to counteract respiratory depression and other symptoms of magnesium toxicity.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for an estrogen-progestin combination contraceptive. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: If a pill is missed, the client should follow the specific instructions provided by the healthcare provider or the information leaflet, which typically involves taking the missed pill as soon as remembered and then continuing with the next dose at the regular time.