ATI LPN
LPN Pharmacology Questions
1. A client has a new prescription for lisinopril. Which of the following findings should be reported to the provider by the nurse?
- A. Weight gain
- B. Dry cough
- C. Hypokalemia
- D. Increased appetite
Correct answer: B
Rationale: The correct answer is B - Dry cough. Lisinopril is known to cause a persistent dry cough as a common side effect. This adverse reaction can be bothersome to the client and may necessitate discontinuation of the medication. Weight gain, hypokalemia, and increased appetite are not typically associated with lisinopril and would not be as concerning as a dry cough when assessing for adverse effects.
2. Which medical herb is commonly used for fever, headache, and cough?
- A. Sambong
- B. Tsaang gubat
- C. Akapulko
- D. Lagundi
Correct answer: D
Rationale: Lagundi is a medical herb commonly used to alleviate symptoms of fever, headache, and cough. Sambong is known for its diuretic properties, Tsaang gubat is used to relieve diarrhea, and Akapulko is valued for its antifungal properties, making Lagundi the correct choice for addressing fever, headache, and cough symptoms.
3. A client with an NG tube is experiencing nausea and a decrease in gastric secretions. What should the nurse do first?
- A. Position the client on their left side
- B. Irrigate the NG tube with sterile water
- C. Replace the NG tube with a new one
- D. Increase the suction setting to relieve the blockage
Correct answer: B
Rationale: The correct first action for a client with an NG tube experiencing nausea and decreased gastric secretions is to irrigate the NG tube with sterile water. This can help clear any blockages in the tube, which may be causing the symptoms. Positioning the client on their left side may be helpful for enteral feedings but is not the priority in this situation. Replacing the NG tube should not be the initial step unless irrigation fails to resolve the issue. Increasing the suction setting without attempting to clear the blockage can be harmful to the client.
4. A nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their arthritis medication. Which of the following client information should the nurse identify as a contributing factor?
- A. The client has a history of recurring bowel inflammation.
- B. The client has recently increased their exercise regimen.
- C. The client is taking herbal supplements.
- D. The client is experiencing increased stress.
Correct answer: A
Rationale: The correct answer is A. Recurring bowel inflammation can decrease gastrointestinal motility, affecting the absorption of oral medications. This can lead to decreased effectiveness of the arthritis medication. Choice B is incorrect because increasing exercise would not typically impact the absorption of arthritis medication. Choice C is incorrect as herbal supplements may not directly affect the absorption of conventional arthritis medication. Choice D is also incorrect as stress, while it can impact overall health, is less likely to directly affect the effectiveness of arthritis medication compared to gastrointestinal issues.
5. A nurse is preparing to administer a blood transfusion. What is the first action?
- A. Administer the blood through an IV push
- B. Verify the client's blood type before starting the transfusion
- C. Warm the blood to body temperature before administration
- D. Ensure the client eats before starting the transfusion
Correct answer: B
Rationale: The correct first action when preparing to administer a blood transfusion is to verify the client's blood type before starting the transfusion. This step is crucial to prevent transfusion reactions and complications. Option A is incorrect because blood transfusions should not be administered through an IV push due to the risk of rapid infusion and adverse reactions. Option C is incorrect because blood should be transfused at room temperature, not body temperature. Option D is incorrect because it is not necessary for the client to eat before a blood transfusion.
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