ATI LPN
LPN Pharmacology Texas University Questions
Extract:
Question 1 of 5
The nurse is preparing discharge instructions for a patient taking warfarin (Coumadin). Which would the nurse correctly include in the discharge instructions?
Correct Answer: B,C,D
Rationale: Emergency ID, avoiding hazardous activities, and regular follow-ups monitor bleeding risk and INR with warfarin. Large salads affect vitamin K levels unpredictably, and alcohol limits need provider guidance.
Question 2 of 5
A client with type 1 diabetes is taking propranolol [Inderal], acting confused, and reports weakness and feeling shaky. What must the nurse check first?
Correct Answer: B
Rationale: Propranolol masks hypoglycemia symptoms in type 1 diabetes; confusion and shakiness suggest low glucose, requiring immediate check over renal, BP, or electrolytes.
Question 3 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 4 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 5 of 5
A client is admitted to a hospital for treatment for first-time acute symptoms of mania. The nurse anticipates the provider will prescribe which of the following medications?
Correct Answer: A
Rationale: Lithium is the standard treatment for acute mania. Diazepam, bupropion, and paroxetine are not indicated for this condition.