ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about the IPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?
Correct Answer: B
Rationale: The correct answer is B: Sexually active female clients must use two forms of birth control during treatment. This is a requirement of the IPLEDGE program for isotretinoin due to the teratogenic effects of the medication. Isotretinoin can cause severe birth defects if taken during pregnancy, so using two forms of birth control is crucial to prevent pregnancy while on the medication. This requirement aims to ensure the safety of the fetus.
Choices A, C, and D are incorrect because they are not specific requirements of the IPLEDGE program for isotretinoin. A Papanicolaou test every 6 months, a daily supplement of vitamin A, and a negative mammogram are not mandatory components of the program. It is essential to focus on the specific requirements outlined by the IPLEDGE program to ensure the safe use of isotretinoin.
Question 2 of 5
A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?
Correct Answer: C
Rationale: The correct answer is C: Atenolol. Atenolol is a beta-blocker that lowers heart rate and blood pressure. Given the client's low heart rate of 54/min, withholding atenolol is necessary to prevent further bradycardia. Hydrochlorothiazide (
A) is a diuretic that helps lower blood pressure, and it can be continued. Lisinopril (
B) is an ACE inhibitor used to manage hypertension, and it can be continued as well. Aspirin (
D) is often prescribed for cardiovascular protection and can also be continued in this scenario.
Question 3 of 5
A nurse is collecting data from a client who is taking sumatriptan. Which of the following reports indicates a therapeutic response to the medication?
Correct Answer: B
Rationale: The correct answer is B: Absence of headache. Sumatriptan is commonly used to treat migraines. A therapeutic response would be the absence of headache, indicating that the medication is effectively managing the client's migraine symptoms. Improved mood (
A) is not a direct indication of sumatriptan's effectiveness. Increased bone mass (
C) is unrelated to sumatriptan's intended use for migraines. Relief of chest pain (
D) is not a typical response to sumatriptan.
Therefore, the absence of headache is the most relevant indicator of a therapeutic response to sumatriptan.
Question 4 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 development. By rotating the sites, the nurse ensures consistent drug absorption and effectiveness.
Choice A is incorrect because removing the patch prior to bathing can disrupt drug delivery.
Choice B is incorrect as nitroglycerin typically causes hypotension, not hypertension.
Choice D is incorrect as nitroglycerin patches are usually left on for 12-14 hours and then replaced with a new patch.
Question 5 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: A
Rationale: The correct answer is A: Tremors. Diazepam is a benzodiazepine used to treat anxiety and withdrawal symptoms. Withdrawal from diazepam can lead to physical symptoms such as tremors due to the sudden decrease in the drug's effects on the central nervous system. Tremors are a common manifestation of benzodiazepine withdrawal. Anorexia (choice
B) is not typically associated with diazepam withdrawal. Drowsiness (choice
C) is more likely a side effect of diazepam itself, not withdrawal. Hypotension (choice
D) is not a common withdrawal symptom of diazepam.