ATI LPN
ATI PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?
Correct Answer: C
Rationale: The correct answer is C: Carbamazepine. Carbamazepine is commonly used to manage trigeminal neuralgia pain as it works by reducing the abnormal electrical activity in the brain that causes the pain. Lorazepam (
A) is a benzodiazepine used for anxiety and not specifically for trigeminal neuralgia. Fluoxetine (
B) is an antidepressant and not indicated for trigeminal neuralgia pain. Methylphenidate (
D) is a stimulant used for ADHD and narcolepsy, not for trigeminal neuralgia pain.
Question 2 of 5
A nurse in a mental health facility is collecting data from a client who is taking lithium. Which of the following findings should the nurse report to the provider as an indication of lithium toxicity?
Correct Answer: A
Rationale: The correct answer is A: Slurred speech. Lithium toxicity can manifest as neurologic symptoms, including slurred speech. This is crucial to report promptly to the provider as it indicates a potential overdose. Stooped posture (
B) is not a typical sign of lithium toxicity. Elevated blood pressure (
C) and dry cough (
D) are not specific to lithium toxicity.
Question 3 of 5
A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Rotate the application sites of the patch. This is important to prevent skin irritation and tolerance to the medication. By rotating sites, the nurse ensures proper absorption and effectiveness of the medication.
Choice A is incorrect because the patch should not be removed prior to bathing as it may disrupt the medication delivery.
Choice B is incorrect as nitroglycerin is used to treat hypotension, not hypertension.
Choice D is incorrect because nitroglycerin patches are typically left on for 12-14 hours, not removed every 24 hours.
Question 4 of 5
A nurse is collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?
Correct Answer: A
Rationale:
Rationale: A sore throat is a potential adverse effect of carbamazepine due to its impact on the immune system. It can indicate a serious reaction and should be reported to the provider for further evaluation. Other options like gingivitis, urge incontinence, and increased salivation are not commonly associated with carbamazepine use. Reporting these symptoms may not be as urgent as a sore throat, which could be a sign of a more severe reaction.
Question 5 of 5
A nurse in an influenza clinic is collecting data from four clients. Which of the following clients should the nurse identify as having a contraindication for receiving the live attenuated form of the influenza vaccine?
Correct Answer: B
Rationale: The correct answer is B: A client who is at 27 weeks of gestation. Pregnant women should not receive live attenuated influenza vaccine due to theoretical risks to the fetus. Rhinitis, getting a tattoo, or traveling do not contraindicate the vaccine. Pregnant women should receive the inactivated influenza vaccine to protect themselves and their unborn child.