ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Nurses Notes
Plan of Care
Provider Prescriptions
Vital Signs
Admissions Assessment
6 months ago:
The client was diagnosed with epilepsy during childhood. The client reports not having seizures for 2 years. The client has weaned off all seizure medications. The client was informed to return to the office for a follow-up in 6 months and to call the office if seizure activity resumes
Today:
The client reports having a seizure this morning. Provider aware and new prescription obtained.
Question 1 of 5
Click to highlight the findings that require immediate follow-up as contraindications to the prescribed prescription (phenytoin).
| Client is a vegetarian and takes a multivitamin daily |
| Client reports having three to four alcoholic beverages a couple times per week |
| Last menstrual period was 3 months ago |
| Client takes diazepam as needed for anxiety |
Correct Answer: A,B,C,D
Rationale: Client reports having three to four alcoholic beverages a couple times per week: Phenytoin metabolism is significantly affected by alcohol consumption, risking subtherapeutic or toxic levels. Last menstrual period was 3 months ago: Possible pregnancy must be evaluated due to phenytoin's teratogenic risk. Client takes diazepam as needed for anxiety: Diazepam increases CNS depression risk with phenytoin. Client is a vegetarian and takes a multivitamin daily: Multivitamins with calcium or iron can reduce phenytoin absorption.
Extract:
Question 2 of 5
A nurse is checking the forearm of a client who received a tuberculin skin test 48 hr ago. Which of the following findings at the injection site should indicate to the nurse a positive result?
Correct Answer: B
Rationale: Firmness indicates induration, a positive TB test sign. Excoriation, ulceration, and bleeding aren't diagnostic.
Question 3 of 5
A nurse is collecting data from a client before administering a hepatitis B immunization. The nurse should withhold the immunization if the client is allergic to which of the following substances?
Correct Answer: A
Rationale: Baker's yeast is a contraindication as hepatitis B vaccine is produced with it, risking allergic reaction. Nuts, wheat, and egg yolk are unrelated to its production.
Question 4 of 5
A nurse is caring for a client who is taking alendronate to treat osteoporosis. The nurse should monitor for which of the following adverse effects?
Correct Answer: C
Rationale: Musculoskeletal pain is a known side effect of alendronate due to bone remodeling effects. Drowsiness, dyskinesia, and weight gain aren't typical.
Question 5 of 5
A nurse is reinforcing discharge teaching with a client who has tuberculosis and a prescription for rifampin. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: I should take this medication on an empty stomach.' enhances rifampin absorption. Stopping early risks resistance, tinnitus isn't expected, and joint pain isn't typical.