ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Nurses' Notes
Plan of Care
Provider Prescriptions
Vital Signs
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 reports having three to four alcoholic beverages a couple times per week. |
| Last bowel movement was 3 days ago |
| Last menstrual period was 3 months ago |
| Client takes diazepam as needed for anxiety. |
Correct Answer: A,C
Rationale: Alcohol alters phenytoin metabolism, and last period 3 months ago may indicate pregnancy, a contraindication due to teratogenicity. Constipation and diazepam need monitoring but aren't immediate contraindications.
Extract:
Question 2 of 5
A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Erythromycin, a macrolide, is safe with penicillin allergy. Alternatives , premedication , and route change aren't needed.
Question 3 of 5
A nurse in a mental health facility is collecting data from a client taking lithium. Which of the following information should the nurse report to the provider as an indication of lithium toxicity?
Correct Answer: D
Rationale: Slurred speech signals lithium toxicity due to CNS effects. Cough , hypertension , and posture aren't typical.
Question 4 of 5
A nurse is collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?
Correct Answer: A
Rationale: Sore throat may indicate agranulocytosis, a serious carbamazepine side effect. Salivation , incontinence , and gingivitis aren't typical.
Extract:
Nurses' Notes
Plan of Care
Provider Prescriptions
Vital Signs
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 5 of 5
Click to highlight the findings that require immediate follow-up as contraindications to the prescribed prescription (phenytoin).
| Client reports having three to four alcoholic beverages a couple times per week. |
| Last bowel movement was 3 days ago |
| Last menstrual period was 3 months ago |
| Client takes diazepam as needed for anxiety. |
Correct Answer: A,C
Rationale: Alcohol alters phenytoin metabolism, and last period 3 months ago may indicate pregnancy, a contraindication due to teratogenicity. Constipation and diazepam need monitoring but aren't immediate contraindications.