ATI LPN
PN Pharmacology 2023 Questions
Extract:
History and Physical 2 weeks ago: Client is in the office for evaluation of acne vulgaris. Past medical history significant for worsening acne vulgaris, unresponsive to previous treatments. Client has been taking a combined oral contraceptive as directed for the past year. Comedones and cystic lesions on face, chest, and back. Acne scarring present on cheeks bilaterally and upper back. Liver function tests (LFTs), fasting lipid panel, serum human chorionic gonadotropin (hG) ordered today. Plan to follow up In 2 weeks for review of laboratory results and medication initiation.
Question 1 of 5
Select the 2 educational topics the nurse should prioritize when reinforcing education to the client about the prescribed medication.
Correct Answer: B, D
Rationale: The correct answers are B and D. The nurse should prioritize educating the client on using two forms of birth control to prevent pregnancy while on the medication, ensuring safety. Understanding manifestations of depression is crucial as the medication may have side effects impacting mental health.
Choices A, C, and E are not directly related to the prescribed medication and are less urgent for client safety.
Extract:
Question 2 of 5
A nurse is collecting data from a client who takes furosemide daily for heart failure. Which of the following laboratory values should the nurse review before administering the medication?
Correct Answer: C
Rationale: The correct answer is C: Serum potassium. Furosemide is a loop diuretic that can cause potassium loss through increased urination. Monitoring serum potassium levels is crucial to prevent hypokalemia, which can lead to cardiac dysrhythmias. Reviewing and addressing any abnormal potassium levels before administering furosemide is essential for the client's safety.
Choices A, B, and D are unrelated to furosemide therapy for heart failure. Option A (Erythrocyte sedimentation rate) measures inflammation and is not directly affected by furosemide. Option B (Thyroxine) is a thyroid hormone level and is not impacted by furosemide use. Option D (Serum aspartate aminotransferase) is a liver enzyme, not typically affected by furosemide.
Therefore, choices A, B, and D are incorrect for monitoring before administering furosemide in this scenario.
Question 3 of 5
A nurse is preparing to administer regular insulin 4 units and NPH insulin 10 units subcutaneously to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Inject 4 units of air into the regular insulin vial. This step ensures accurate withdrawal of the insulin dose without creating a vacuum in the vial. By injecting air into the vial first, the nurse prevents the formation of a vacuum, making it easier to draw up the correct dose of insulin.
Choices A and B are incorrect because injecting air or drawing up insulin from the NPH vial should come after preparing the regular insulin.
Choices D, E, F, and G are irrelevant to the initial step of preparing the regular insulin and NPH insulin for administration.
Extract:
History and Physical 2 weeks ago: Client is in the office for evaluation of acne vulgaris. Past medical history significant for worsening acne vulgaris, unresponsive to previous treatments. Client has been taking a combined oral contraceptive as directed for the past year. Comedones and cystic lesions on face, chest, and back. Acne scarring present on cheeks bilaterally and upper back. Liver function tests (LFTs), fasting lipid panel, serum human chorionic gonadotropin (hG) ordered today. Plan to follow up In 2 weeks for review of laboratory results and medication initiation.
Question 4 of 5
Select the 2 educational topics the nurse should prioritize when reinforcing education to the client about the prescribed medication.
Correct Answer: B, D
Rationale: The correct answers are B and D. The nurse should prioritize educating the client on using two forms of birth control to prevent pregnancy while on the medication, ensuring safety. Understanding manifestations of depression is crucial as the medication may have side effects impacting mental health.
Choices A, C, and E are not directly related to the prescribed medication and are less urgent for client safety.
Extract:
Question 5 of 5
A nurse is collecting data from a client who was taking oxycodone four times a day for chronic pain and reports discontinuing the medication 10 days ago. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Insomnia. When oxycodone is discontinued after long-term use, withdrawal symptoms such as insomnia are common due to the body readjusting to not having the medication.
Choice A - Hypotension is unlikely as oxycodone withdrawal typically does not cause low blood pressure.
Choice B - Constricted pupils are associated with opioid use, not withdrawal.
Choice D - Constipation is a common side effect of opioids but not a withdrawal symptom after discontinuation.