ATI LPN
ATI LPN Pharmacology N113 Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mEq/L. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Administer the regular dose of lithium. A lithium level of 1.2 mEq/L is within the therapeutic range (0.6-1.2 mEq/L) for treating bipolar disorder. Thus, the nurse should continue administering the regular dose of lithium. Contacting the laboratory to repeat the lithium level (
B) is unnecessary as the level is already within the therapeutic range. Obtaining an ECG and instituting seizure precautions (
C) is not indicated at this lithium level. Contacting the provider to prescribe an increased dose of lithium (
D) is not needed since the current level is therapeutic.
Question 2 of 5
A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?
Correct Answer: D
Rationale: The correct answer is D: Lorazepam. Lorazepam is a benzodiazepine used to manage alcohol withdrawal symptoms, including delirium. It acts by calming the central nervous system and reducing agitation and anxiety. Methadone (
A) is used for opioid withdrawal, not alcohol withdrawal delirium. Acamprosate (
B) is used to maintain abstinence in alcohol-dependent patients, but not for acute withdrawal symptoms. Disulfiram (
C) is an aversion therapy drug used to deter alcohol consumption by causing unpleasant reactions.
Therefore, it is not appropriate for managing alcohol withdrawal symptoms.
Question 3 of 5
A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?
Correct Answer: D
Rationale: The correct answer is D: Dorsal recumbent position. This position allows for easy access to the vaginal area for administration of the cream. It also provides comfort and privacy to the client. Prone position (
A) is lying face down and is not suitable for vaginal administration. Orthopneic position (
B) is sitting upright to ease breathing, not relevant for vaginal cream. Sims' position (
C) is lying on the left side with the right knee bent, primarily used for rectal exams.
Question 4 of 5
A nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Which of the following food choices should the nurse identify as having the highest tyramine content?
Correct Answer: A
Rationale: The correct answer is A: Avocadoes. Avocadoes have high tyramine content, which can interact with MAOIs and cause a hypertensive crisis. Other choices (B-
D) have low to negligible tyramine levels and are safe to consume with MAOIs. It is crucial to avoid high-tyramine foods to prevent adverse reactions when taking MAOIs.
Question 5 of 5
A nurse is collecting data from client who has just begun therapy with alprazolam to treat anxiety. The nurse should observe the client for which of the following adverse effects of this medication?
Correct Answer: C
Rationale: The correct answer is C: Sedation. Alprazolam is a benzodiazepine commonly used to treat anxiety. Sedation is a common adverse effect of benzodiazepines due to their central nervous system depressant properties. This medication can cause drowsiness, fatigue, and impaired coordination. Monitoring for sedation is important to ensure the client's safety and to adjust the dosage if needed.
Choice A: Hypertension is not a common adverse effect of alprazolam. It is more likely to cause hypotension.
Choice B: Hearing loss is not a typical adverse effect of alprazolam.
Choice D: Bradycardia is not a common adverse effect of alprazolam. It is more likely to cause tachycardia as a side effect.