ATI LPN
LPN Pharmacology
1. The nurse is caring for a client with a diagnosis of myocardial infarction (MI) and is assisting the client in completing the diet menu. Which beverage does the nurse instruct the client to select from the menu?
- A. Tea
- B. Cola
- C. Coffee
- D. Lemonade
Correct answer: D
Rationale: Lemonade is the correct choice as it is caffeine-free, unlike tea, cola, and coffee, which contain caffeine that can potentially affect the client's heart rhythm. Caffeine can increase heart rate and blood pressure, which may not be advisable for a client with a recent MI. Tea, cola, and coffee should be avoided due to their caffeine content, which can have stimulant effects on the heart and may not be beneficial for a client recovering from a myocardial infarction.
2. What is a common side effect of benzodiazepines prescribed for anxiety?
- A. Weight gain
- B. Insomnia
- C. Drowsiness
- D. Increased appetite
Correct answer: C
Rationale: The correct answer is C: Drowsiness. Benzodiazepines, commonly prescribed for anxiety, often cause drowsiness as a side effect due to their sedative properties. This can lead to impairments in cognitive and motor skills, making it important for individuals on these medications to exercise caution when performing tasks that require alertness, such as driving or operating machinery. Choices A, B, and D are incorrect because weight gain, insomnia, and increased appetite are not typically associated with benzodiazepines; instead, drowsiness and sedation are more commonly reported side effects.
3. While caring for a client in active labor, a nurse notes late decelerations in the FHR on the external fetal monitor. Which of the following actions should the nurse take first?
- A. Change the client's position
- B. Palpate the uterus to assess for tachysystole
- C. Increase the client's IV infusion rate
- D. Administer oxygen at 10 L/min via nonrebreather mask
Correct answer: A
Rationale: The correct initial action for the nurse to take is to change the client's position. This intervention can alleviate pressure on the umbilical cord, potentially improving fetal oxygenation and addressing the underlying cause of late decelerations. Palpating the uterus to assess for tachysystole or increasing the IV infusion rate are not the first-line interventions for addressing late decelerations. Administering oxygen at a high flow rate via a nonrebreather mask may be necessary but is not the priority action in this situation.
4. What other statistic may be used to determine attainment of longevity besides reaching the average life span of Filipinos?
- A. Age-specific mortality rate
- B. Proportionate mortality rate
- C. Swaroop’s index
- D. Case fatality rate
Correct answer: C
Rationale: Swaroop’s index is a useful statistic to determine attainment of longevity as it focuses on the percentage of deaths aged 50 years or older. Its inverse reflects the percentage of untimely deaths, which are those who died younger than 50 years. By considering Swaroop’s index in addition to average life span, a more comprehensive assessment of longevity can be achieved.
5. What is the correct procedure for taking a telephone order from a provider?
- A. State patient name, drug, dose, route, frequency, and read back the order
- B. State the medication and ask for a witness to listen to the order
- C. Write down the order and verify with the provider within 12 hours
- D. Have the provider verify the order during the next in-person visit
Correct answer: A
Rationale: The correct procedure for taking a telephone order from a provider is to state the patient's name, drug, dose, route, frequency, and then read back the order to ensure accuracy. This process helps in preventing errors and ensures that all relevant information is correctly documented. Choice B is incorrect because having a witness listen to the order is not a standard practice and may not guarantee accuracy. Choice C is incorrect as verifying the order within 12 hours may lead to delays in patient care. Choice D is incorrect because waiting for the provider to verify the order during the next in-person visit could result in a significant delay in administering necessary medication.
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