ATI LPN
ATI PN Pharmacology 2020 Exam 2 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: D
Rationale: Isotretinoin is not associated with cervical cancer risk, and this requirement is not part of the iPLEDGE program. Mammogram is not a requirement of the iPLEDGE program. While vitamin A supplementation may be recommended, it is not a specific requirement of the iPLEDGE program. This is a key requirement of the iPLEDGE program due to the teratogenic effects of isotretinoin.
Question 2 of 5
A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide. The client reports feeling anxious and having profuse sweating. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: This is associated with hypocalcemia, not glyburide use. This is not a typical finding related to glyburide use. Edema is not a common side effect of glyburide. Hypoglycemia, indicated by symptoms such as anxiety and sweating, can result from glyburide use.
Question 3 of 5
A nurse is collecting data from a client who has hypertension. The nurse should recognize that which of the following over-the-counter medications is contraindicated for this client?
Correct Answer: C
Rationale: This medication is a stool softener and is not contraindicated for hypertension. This medication is an expectorant and is not contraindicated for hypertension. Pseudoephedrine is a decongestant that can increase blood pressure and is contraindicated for clients with hypertension. Omeprazole is a proton pump inhibitor used to reduce stomach acid and is not contraindicated for hypertension.
Question 4 of 5
A nurse is caring for a client who has been taking epoetin alfa for 3 months. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
Correct Answer: C
Rationale: T4 is a thyroid hormone, and monitoring it is not relevant for assessing the effectiveness of epoetin alfa. Troponin is a marker for cardiac injury and is not relevant for assessing the effectiveness of epoetin alfa. Epoetin alfa stimulates the production of red blood cells, so monitoring hemoglobin levels is crucial to assess its effectiveness. AST is a liver enzyme and is not relevant for assessing the effectiveness of epoetin alfa.
Question 5 of 5
A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: While diarrhea is a concern, it is a common side effect of vancomycin and may not be the highest priority. Elevated white blood cell count may indicate infection but is not directly related to vancomycin therapy. Elevated creatinine suggests kidney impairment, a potential side effect of vancomycin. This is a critical finding that needs immediate attention. An elevated heart rate can be a side effect of vancomycin but is not as immediately concerning as renal impairment.