ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is talking with a client who has been taking levothyroxine to treat hypothyroidism. The nurse should instruct the client to avoid taking which of the following over-the-counter medications within 4 hr of taking levothyroxine?
Correct Answer: D
Rationale: The correct answer is D: Calcium supplements. Calcium can interfere with the absorption of levothyroxine, reducing its effectiveness. The nurse should instruct the client to avoid taking calcium supplements within 4 hours of taking levothyroxine to ensure proper absorption.
A: Fish oil supplements do not interfere with levothyroxine absorption.
B: Bulk-forming laxatives do not interfere with levothyroxine absorption.
C: Oral antihistamines do not interfere with levothyroxine absorption.
Question 2 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 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.
Question 4 of 5
A nurse is caring for a client who is immunosuppressed. The nurse should identify that which of following immunizations is contraindicated for this client?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Varicella vaccine contains live attenuated virus which can cause infection in immunosuppressed individuals. This can lead to serious complications. Pneumococcal, Meningococcal, and Inactivated influenza vaccines are all safe for immunosuppressed individuals as they do not contain live viruses. These vaccines help protect against bacterial or inactivated viral infections without posing a risk of causing the disease in immunosuppressed individuals.
Question 5 of 5
A nurse is reinforcing teaching with a client who has pancreatitis and a new prescription for pancrelipase. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will take this medication whole." This response indicates an understanding of the teaching because pancrelipase should be taken whole to ensure proper absorption of the enzymes it contains. Option B is incorrect because pancrelipase does not cure pancreatitis but helps with digestion. Option C is incorrect because fatty stools are an expected side effect of pancrelipase and do not warrant discontinuation of the medication. Option D is incorrect because pancrelipase should be taken with meals, not at bedtime.