ATI LPN
LPN Pharmacology Texas University Questions
Extract:
Question 1 of 5
The nurse is assessing therapeutic blood levels for a client receiving lithium (Lithobid). The nurse should recognize which of the following levels as toxic for this drug?
Correct Answer: C
Rationale: Lithium levels of 1.5-2 mEq/L are toxic, requiring intervention. Lower ranges are therapeutic or subtherapeutic.
Question 2 of 5
The nurse is preparing a client for discharge with a medical prescription for the HMG-CoA inhibitor, lovastatin [Mevacor]. Which statements from the client demonstrate a clear understanding of the teaching provided by the nurse?
Correct Answer: A
Rationale: Lovastatin works best at night (cholesterol synthesis peak) and grapefruit juice increases toxicity risk. It's taken with food, greens are fine, and alcohol/potassium aren't emphasized.
Question 3 of 5
The nurse will administer which of the following to a hospitalized client experiencing difficulty falling asleep for short-term management of insomnia?
Correct Answer: A
Rationale: Zolpidem is indicated for short-term insomnia management. Fluoxetine treats depression, morphine is for pain, and aspirin is not a sleep aid.
Question 4 of 5
The nurse understands which of the following clients with depression are appropriate for phenelzine [Nardil]?
Correct Answer: B
Rationale: Phenelzine, an MAOI, is used for depression resistant to SSRIs/TCAs. It's not for schizophrenia, risky with SSRIs (serotonin syndrome), and avoided in lactation.
Question 5 of 5
The nurse is caring for a client diagnosed with hypertension and taking losartan. The nurse should monitor the client for which of the following common side effects of this medication?
Correct Answer: B,D
Rationale: Losartan can cause dizziness and hypotension due to BP lowering. It treats hypertension, doesn't cause hyperglycemia, and tachycardia is uncommon.