ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about the pledge program with a female client who has a new prescription for…. The nurse should tell the client that which of the following is a requirement of the program?
Correct Answer: C
Rationale: The correct answer is C: Sexually active female clients must use two forms of birth control during treatment. This requirement is crucial to prevent pregnancy while on the medication, which could harm the fetus. A Papanicolaou test every 6 months (
Choice
A) is important for monitoring cervical health but not a requirement of the program. Starting a daily supplement of vitamin A (
Choice
B) is not directly related to the program's requirements. A negative mammogram (
Choice
D) is not necessary for the program.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching?
Correct Answer: B
Rationale:
Correct Answer: B - "I will report a sore throat to my provider."
Rationale: Prednisone can suppress the immune system, increasing the risk of infections like sore throat. Reporting this symptom promptly is crucial to prevent serious complications.
Choices A, C, and D are incorrect because prednisone can cause fluid retention, so increasing sodium intake can worsen this; taking it with food reduces stomach irritation, so taking it on an empty stomach is wrong; and weight gain, not loss, is a common side effect of prednisone.
Question 3 of 5
A nurse in a clinic is caring for a client who was admitted for diazepam toxicity. Which of the following medications should the nurse anticipate administering?
Correct Answer: D
Rationale: The correct answer is D: Flumazenil. Flumazenil is a benzodiazepine receptor antagonist used for benzodiazepine overdose, such as diazepam toxicity. It works by blocking the effects of diazepam on the central nervous system. Vitamin K (
A) is used for reversing the effects of warfarin, not diazepam. Calcium gluconate (
B) is used for treating calcium deficiency or hyperkalemia, not diazepam toxicity. Protamine sulfate (
C) is used for heparin overdose, not diazepam toxicity.
Therefore, Flumazenil is the appropriate medication to anticipate administering in this situation.
Extract:
Nurses Notes 0830: Walk-in clinic visit for adolescent client who is accompanied by their guardian. The guardian states, 'My child has a partner, and I want to be sure that they have some birth control before becoming sexually active': The client states, 'I want to be sure I don't get pregnant or get an STI.' 0915: Witnessed consent signed by client and guardian. Assisted provider with placement of intrauterine device (IUD). Client tolerated procedure well. Provider Prescriptions 0930: Human Papillomavirus (HPV) vaccine, administer first dose today IM
Question 4 of 5
Which of the following client statements indicate that the nurse's reinforced teaching about the immunization was effective? Select all that apply.
Correct Answer: D, F, G
Rationale: The correct answers are D, F, and G. D is correct because the client showing understanding of needing to return for another shot in 2 months indicates comprehension of the immunization schedule. F is correct because understanding that the shot can prevent some cancers shows the client grasps the potential benefits of the immunization. G is correct because suggesting the partner should also get the shot demonstrates understanding of the importance of herd immunity and preventing the spread of diseases.
Choices A, B, C, and E are incorrect because they demonstrate misconceptions or lack of understanding regarding the purpose and effects of the immunization.
Extract:
Question 5 of 5
A nurse is caring for a client who has Graves' disease and is to start therapy with propylthiouracil. The nurse should expect which of the following outcomes?
Correct Answer: A
Rationale: The correct answer is A: Decreased heart rate. Propylthiouracil is an antithyroid medication that inhibits the synthesis of thyroid hormones. In Graves' disease, there is excessive production of thyroid hormones leading to symptoms like tachycardia. By decreasing the levels of thyroid hormones, propylthiouracil can help normalize the heart rate. Decreased WBC count (
B) and increased Hgb (
C) are not expected outcomes of propylthiouracil therapy. Increased blood pressure (
D) is not a direct effect of propylthiouracil in treating Graves' disease.