LPN LPN
PN ATI Capstone Pharmacology 1 Quiz
1. A nurse is teaching a client about the use of aspirin. Which of the following should be included?
- A. It can cause drowsiness
- B. It should be taken with food
- C. Monitor for signs of bleeding
- D. It is safe during pregnancy
Correct answer: C
Rationale: The correct answer is C: 'Monitor for signs of bleeding.' Aspirin is known to increase the risk of bleeding, so clients should be monitored for this potential side effect. Choice A is incorrect because aspirin is not typically associated with causing drowsiness. Choice B is not a specific consideration for aspirin use; it is not necessary to take it with food. Choice D is incorrect because aspirin is not considered safe during pregnancy and should be avoided, especially in the third trimester, as it may cause complications for the mother and the baby.
2. A client who signed an informed consent form for surgery but has since expressed doubts about the need for surgery should discuss concerns with the surgeon to obtain informed answers. Which statement should the nurse make?
- A. It's normal to feel unsure; the surgery will be beneficial
- B. You can cancel surgery any time without any consequences
- C. I'll inform the surgeon to answer your questions before surgery
- D. We can reschedule surgery for another day
Correct answer: C
Rationale: The correct answer is C because the nurse should facilitate communication between the client and the surgeon to address any doubts and provide necessary information. Choice A may invalidate the client's concerns and might not address the root of the issue. Choice B oversimplifies the situation and might not consider the potential consequences of canceling surgery. Choice D, while offering an alternative, does not address the client's doubts about the surgery.
3. A nurse is supervising an LPN who is providing care to a patient who is postoperative. Which of the following statements by the patient requires the nurse to follow up with the LPN?
- A. “I am experiencing some pain, but it’s tolerable.”
- B. “The nurse checked my vital signs earlier.”
- C. “I have not received any of my medications today.”
- D. “I am scheduled for therapy later today.”
Correct answer: C
Rationale: If the patient states they have not received any medications, it requires immediate follow-up to prevent missed doses and complications. The other options do not pose an immediate risk to the patient. Option A indicates pain but is tolerable, which is a common postoperative experience. Option B states that vital signs were checked, indicating ongoing monitoring. Option D mentions therapy, which is a scheduled activity and not an urgent concern regarding medication administration.
4. A nurse is caring for a client prescribed levetiracetam. Which of the following should the nurse monitor?
- A. Liver function
- B. Blood glucose levels
- C. Serum creatinine
- D. Blood pressure
Correct answer: C
Rationale: The correct answer is C: Serum creatinine. Levetiracetam requires monitoring of renal function, specifically serum creatinine levels, as it is primarily eliminated by the kidneys. Monitoring liver function (Choice A) is not necessary for levetiracetam. Blood glucose levels (Choice B) are typically not affected by levetiracetam. While monitoring blood pressure (Choice D) is important in general patient care, it is not specifically required for clients prescribed levetiracetam.
5. A nurse is teaching a client about the use of alendronate. Which of the following should be included in the teaching?
- A. Take it with food
- B. Sit upright for at least 30 minutes after taking it
- C. It can be taken at bedtime
- D. It is safe to take with antacids
Correct answer: B
Rationale: The correct answer is B: 'Sit upright for at least 30 minutes after taking it.' Alendronate can cause esophageal irritation and to reduce the risk of this side effect, clients should be instructed to sit upright for at least 30 minutes after administration. Choice A is incorrect as alendronate should be taken on an empty stomach, usually in the morning, at least 30 minutes before the first food, beverage, or medication of the day. Choice C is incorrect because alendronate should not be taken at bedtime, as the client should remain upright for at least 30 minutes after taking it. Choice D is incorrect as antacids can interfere with the absorption of alendronate, so they should not be taken together.
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