ATI LPN
ATI LPN Pharmacology N113 Exam Questions
Extract:
Question 1 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: The correct answer is C: Sedation. Alprazolam is a benzodiazepine commonly used to treat anxiety. Sedation is a common adverse effect of benzodiazepines due to their central nervous system depressant properties. This medication can cause drowsiness, fatigue, and impaired coordination. Monitoring for sedation is important to ensure the client's safety and to adjust the dosage if needed.
Choice A: Hypertension is not a common adverse effect of alprazolam. It is more likely to cause hypotension.
Choice B: Hearing loss is not a typical adverse effect of alprazolam.
Choice D: Bradycardia is not a common adverse effect of alprazolam. It is more likely to cause tachycardia as a side effect.
Question 2 of 5
A nurse is reinforcing teaching about Rho(D) immunoglobulin to a client who is pregnant. Which of the following findings can an Rh incompatibility cause?
Correct Answer: D
Rationale: The correct answer is D: Hydrops fetalis. Rh incompatibility can lead to the destruction of fetal red blood cells, causing severe hemolytic disease in the fetus. This can result in the accumulation of fluid in the fetus's tissues, known as hydrops fetalis. A: Transient clotting difficulties, B: Congenital hypothermia, and C: Hypobilirubinemia are not directly associated with Rh incompatibility. Transient clotting difficulties and hypobilirubinemia are not typical manifestations of Rh incompatibility, while congenital hypothermia is not a common consequence of this condition.
Question 3 of 5
A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?
Correct Answer: C
Rationale: The correct answer is C: Postpartum hemorrhage. Methylergonovine is a uterotonic medication used to prevent or manage postpartum hemorrhage by promoting uterine contractions and reducing the risk of excessive bleeding. It helps the uterus to contract and close off blood vessels, which can prevent excessive bleeding after delivery.
Incorrect choices:
A: Postpartum infection - Methylergonovine does not prevent postpartum infection; it is specifically indicated for preventing hemorrhage.
B: Hypertension - Methylergonovine may cause hypertension as a side effect, but it is not its primary purpose.
D: Thromboembolic events - Methylergonovine does not prevent thromboembolic events; it works on the uterus to prevent hemorrhage.
Question 4 of 5
A nurse is reinforcing teaching with a client who takes lithium carbonate for bipolar disorder. For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?
Correct Answer: A
Rationale: The correct answer is A: Thyroid enlargement. Lithium carbonate can lead to hypothyroidism, causing thyroid enlargement. The nurse should monitor for signs such as weight gain, fatigue, and cold intolerance.
Choice B, constipation, is not a common adverse effect of lithium.
Choice C, hyporeflexia, is not typically associated with lithium use.
Choice D, elevated blood pressure, is more commonly seen with other medications used for bipolar disorder.
Question 5 of 5
A nurse is collecting data from a client who takes several daily medications and states that he wants to ask the provider for a prescription for sildenafil. The nurse knows that sildenafil is contraindicated due to an interaction with which of the following client's medications?
Correct Answer: C
Rationale: The correct answer is C: Isosorbide. Sildenafil is contraindicated with nitrates like isosorbide due to the risk of severe hypotension. Nitrates and sildenafil both cause vasodilation, leading to a significant drop in blood pressure when taken together.
Choices A, B, and D do not have significant interactions with sildenafil.
Choice E, F, and G are irrelevant.