ATI LPN
LPN Pharmacology Texas University Questions
Extract:
Question 1 of 5
The nurse is teaching a client who has been diagnosed with hyperlipidemia about medication therapy. Which of the following medications should the nurse include in the teaching?
Correct Answer: A
Rationale: Lovastatin, a statin, lowers cholesterol for hyperlipidemia. Pioglitazone treats diabetes, spironolactone is a diuretic, and nitrofurantoin is an antibiotic.
Question 2 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 3 of 5
A nurse is assessing a client who complains of a persistent, nonproductive dry cough after starting a new prescription for hypertension. Which of the following medications does the nurse suspect?
Correct Answer: A
Rationale: Captopril, an ACE inhibitor, commonly causes a dry cough due to bradykinin buildup. Nifedipine, verapamil, and propranolol do not typically cause this.
Question 4 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 5 of 5
A client diagnosed with schizophrenia is on drug treatment (chlorpromazine) and states, "I recently started having muscle spasms in my face and neck." Which of the following is the nurse's best response?
Correct Answer: A
Rationale: Muscle spasms (e.g., dystonia) are serious chlorpromazine side effects requiring physician notification, not addiction, disease-related, or self-resolving.