ATI PHARM LATEST
PROCTORED LPN EXAM
A adult client with muscle spasms is taking an oral maintenance dose of
baclofen (Lioresal). The nurse reviews the medication record, expecting
that which dose should be prescribed? - ANSWERS-15 mg four times a
day
A nurse is reviewing the health care provider's prescriptions for an adult
client who has been admitted to the hospital following a back injury.
Carisoprodol (Soma) is prescribed for the client to relieve the muscle
spasms; the health care provider has prescribed 350 mg to be
administered four times a day. When preparing to give this medication,
the nurse determines that this dosage is: - ANSWERS-The normal adult
dosage
A nurse has administered a dose of diazepam (Valium) to a client. The
nurse would take which important action before leaving the client's
room? - ANSWERS-Per agency policy, putting up the side rails on the
bed
A client with a psychotic disorder is being treated with haloperidol
(Haldol). Which of the following would indicate the presence of a toxic
effect of this medication? - ANSWERS-Excessive salivation
END OF
PAGE
1
, ATI PHARM LATEST
PROCTORED LPN EXAM
Neuroleptic malignant syndrome is suspected in a client who is taking
chlorpromazine. Which medication would the nurse prepare in
anticipation of being prescribed to treat this adverse effect related to the
use of chlorpromazine? - ANSWERS-Bromocriptine (Parlodel)
A nursing student is assigned to care for a client with a diagnosis of
schizophrenia. Haloperidol (Haldol) is prescribed for the client, and the
nursing instructor asks the student to describe the action of the
medication. Which statement by the nursing student indicates an
understanding of the action of this medication? - ANSWERS-It blocks
the binding of dopamine to the postsynaptic dopamine receptors in the
brain.
A client receiving lithium carbonate (Lithobid) complains of loose,
watery stools and difficulty walking. The nurse would expect the serum
lithium level to be which of the following? - ANSWERS-1.7 mEq/L
When teaching a client who is being started on imipramine
hydrochloride (Tofranil), the nurse would inform the client that the
desired effects of the medication may: - ANSWERS-Not occur for 2 to 3
weeks of administration
END OF
PAGE
2
, ATI PHARM LATEST
PROCTORED LPN EXAM
A client receiving an anxiolytic medication complains that he feels very
"faint" when he tries to get out of bed in the morning. The nurse
recognizes this complaint as a symptom of: - ANSWERS-Postural
hypotension
A client who is taking lithium carbonate (Lithobid) is scheduled for
surgery. The nurse informs the client that: - ANSWERS-The medication
will be discontinued 1 to 2 days before the surgery and resumed as soon
as full oral intake is allowed.
A client is placed on chloral hydrate (Somnote) for short-term treatment.
Which nursing action indicates an understanding of the major side effect
of this medication? - ANSWERS-Instructing the client to call for
ambulation assistance
A client admitted to the hospital gives the nurse a bottle of clomipramine
(Anafranil). The nurse notes that the medication has not been taken by
the client in 2 months. What behaviors observed in the client would
validate noncompliance with this medication? - ANSWERS-Frequent
handwashing with hot, soapy water
END OF
PAGE
3
, ATI PHARM LATEST
PROCTORED LPN EXAM
A client in the mental health unit is administered haloperidol (Haldol).
The nurse would check which of the following to determine medication
effectiveness? - ANSWERS-The client's orientation and delusional
status
Diphenhydramine hydrochloride (Benadryl) is used in the treatment of
allergic rhinitis for a hospitalized client with a chronic psychotic
disorder. The client asks the nurse why the medication is being
discontinued before hospital discharge. The nurse responds, knowing
that: - ANSWERS-Addictive properties are enhanced in the presence of
psychotropic medications.
A hospitalized client is started on phenelzine sulfate (Nardil) for the
treatment of depression. At lunchtime, a tray is delivered to the client.
Which food item on the tray will the nurse remove? - ANSWERS-
Yogurt
A tricyclic antidepressant is administered to a client daily. The nurse
plans to monitor for the common side effects of the medication and
includes which of the following in the plan of care? - ANSWERS-Offer
hard candy or gum periodically.
END OF
PAGE
4
PROCTORED LPN EXAM
A adult client with muscle spasms is taking an oral maintenance dose of
baclofen (Lioresal). The nurse reviews the medication record, expecting
that which dose should be prescribed? - ANSWERS-15 mg four times a
day
A nurse is reviewing the health care provider's prescriptions for an adult
client who has been admitted to the hospital following a back injury.
Carisoprodol (Soma) is prescribed for the client to relieve the muscle
spasms; the health care provider has prescribed 350 mg to be
administered four times a day. When preparing to give this medication,
the nurse determines that this dosage is: - ANSWERS-The normal adult
dosage
A nurse has administered a dose of diazepam (Valium) to a client. The
nurse would take which important action before leaving the client's
room? - ANSWERS-Per agency policy, putting up the side rails on the
bed
A client with a psychotic disorder is being treated with haloperidol
(Haldol). Which of the following would indicate the presence of a toxic
effect of this medication? - ANSWERS-Excessive salivation
END OF
PAGE
1
, ATI PHARM LATEST
PROCTORED LPN EXAM
Neuroleptic malignant syndrome is suspected in a client who is taking
chlorpromazine. Which medication would the nurse prepare in
anticipation of being prescribed to treat this adverse effect related to the
use of chlorpromazine? - ANSWERS-Bromocriptine (Parlodel)
A nursing student is assigned to care for a client with a diagnosis of
schizophrenia. Haloperidol (Haldol) is prescribed for the client, and the
nursing instructor asks the student to describe the action of the
medication. Which statement by the nursing student indicates an
understanding of the action of this medication? - ANSWERS-It blocks
the binding of dopamine to the postsynaptic dopamine receptors in the
brain.
A client receiving lithium carbonate (Lithobid) complains of loose,
watery stools and difficulty walking. The nurse would expect the serum
lithium level to be which of the following? - ANSWERS-1.7 mEq/L
When teaching a client who is being started on imipramine
hydrochloride (Tofranil), the nurse would inform the client that the
desired effects of the medication may: - ANSWERS-Not occur for 2 to 3
weeks of administration
END OF
PAGE
2
, ATI PHARM LATEST
PROCTORED LPN EXAM
A client receiving an anxiolytic medication complains that he feels very
"faint" when he tries to get out of bed in the morning. The nurse
recognizes this complaint as a symptom of: - ANSWERS-Postural
hypotension
A client who is taking lithium carbonate (Lithobid) is scheduled for
surgery. The nurse informs the client that: - ANSWERS-The medication
will be discontinued 1 to 2 days before the surgery and resumed as soon
as full oral intake is allowed.
A client is placed on chloral hydrate (Somnote) for short-term treatment.
Which nursing action indicates an understanding of the major side effect
of this medication? - ANSWERS-Instructing the client to call for
ambulation assistance
A client admitted to the hospital gives the nurse a bottle of clomipramine
(Anafranil). The nurse notes that the medication has not been taken by
the client in 2 months. What behaviors observed in the client would
validate noncompliance with this medication? - ANSWERS-Frequent
handwashing with hot, soapy water
END OF
PAGE
3
, ATI PHARM LATEST
PROCTORED LPN EXAM
A client in the mental health unit is administered haloperidol (Haldol).
The nurse would check which of the following to determine medication
effectiveness? - ANSWERS-The client's orientation and delusional
status
Diphenhydramine hydrochloride (Benadryl) is used in the treatment of
allergic rhinitis for a hospitalized client with a chronic psychotic
disorder. The client asks the nurse why the medication is being
discontinued before hospital discharge. The nurse responds, knowing
that: - ANSWERS-Addictive properties are enhanced in the presence of
psychotropic medications.
A hospitalized client is started on phenelzine sulfate (Nardil) for the
treatment of depression. At lunchtime, a tray is delivered to the client.
Which food item on the tray will the nurse remove? - ANSWERS-
Yogurt
A tricyclic antidepressant is administered to a client daily. The nurse
plans to monitor for the common side effects of the medication and
includes which of the following in the plan of care? - ANSWERS-Offer
hard candy or gum periodically.
END OF
PAGE
4
