ATI LPN
ATI LPN Pharmacology N113 Exam Questions
Extract:
Question 1 of 4
A nurse is reviewing a client's medication administration record. Which of the following medications should the nurse recognize as potentially interacting with the client's prescribed lithium?
Correct Answer: A
Rationale: The correct answer is A: Furosemide. Furosemide can increase lithium levels and potentially lead to lithium toxicity by reducing its excretion. Furosemide is a diuretic that affects renal function, which can impact lithium clearance. Gentamicin (
B) primarily affects the kidneys but does not significantly interact with lithium. Alprazolam (
C) and Warfarin (
D) do not have direct interactions with lithium.
Question 2 of 4
A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C. This statement indicates a need for further teaching because phenytoin is an antiepileptic medication that should not be stopped abruptly. Seizure control should be maintained by continuous medication use. Stopping the medication abruptly can lead to seizure recurrence.
Choices A, B, and D are all correct statements that demonstrate understanding of important aspects of phenytoin therapy. A dentist visit is important due to phenytoin's potential side effects on oral health. Notifying the provider before taking other medications is crucial to avoid drug interactions. Taking the medication with meals helps prevent gastrointestinal side effects.
Question 3 of 4
A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because reporting weight changes is important for monitoring side effects of fluoxetine. Weight changes can be a sign of effectiveness or possible adverse effects.
Choice B is incorrect because abruptly stopping fluoxetine can lead to withdrawal symptoms.
Choice C is incorrect as there is no need to avoid cheese with fluoxetine.
Choice D is incorrect because fluoxetine is usually taken in the morning to prevent insomnia.
Question 4 of 4
A nurse is reinforcing teaching with a client who is taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
Correct Answer: A
Rationale: The correct answer is A: Difficulty voiding. Benztropine is an anticholinergic medication commonly used to treat Parkinson's disease. Anticholinergic drugs can cause urinary retention by relaxing the bladder muscle, leading to difficulty voiding. The other options are incorrect because diarrhea (
B) is not a common adverse effect of benztropine. Slow pulse (
C) is not typically associated with this medication; in fact, anticholinergics can cause tachycardia. Excessive salivation (
D) is a symptom of decreased salivary production, not an adverse effect of benztropine.
Question 5 of 4
A nurse is preparing to administer vitamin K IM to a newborn. Into which of the following muscles should the nurse inject the medication?
Correct Answer: B
Rationale: The correct answer is B: Vastus lateralis. The vastus lateralis is the preferred site for IM injections in newborns due to its large muscle mass and minimal risk of hitting nerves or blood vessels. It is located on the lateral thigh and is easily accessible for injections. Injecting vitamin K IM into the deltoid (
A) is not recommended in newborns due to insufficient muscle mass. Ventrogluteal (
C) and dorsogluteal (
D) sites are not typically used in newborns due to the risk of hitting sciatic nerve or blood vessels. Overall, choosing the vastus lateralis for IM injections in newborns ensures safe and effective administration of medication.