LPN LPN: Pharmacological Therapies 3

Question 1

A patient prescribed digoxin has a heart rate of 52 bpm before the morning dose. What is the priority action?

Accepted Answer

Hold the dose and notify the provider

Answer

Administer the dose as scheduled

Answer

Administer half the prescribed dose

Answer

Reassess the heart rate in one hour

Question 2

Which assessment finding is most concerning in a patient receiving long-term corticosteroid therapy?

Accepted Answer

Blood glucose of 145 mg/dL

Answer

Blood pressure of 118/78 mmHg

Answer

Mild ankle edema

Answer

White blood cell count of 9,000/mm³

Question 3

An LPN is preparing to administer insulin. Which type of insulin is the ONLY type that can be given intravenously?

Accepted Answer

Regular insulin

Answer

NPH insulin

Answer

Glargine (Lantus)

Answer

Lispro (Humalog)

Question 4

A patient is prescribed lisinopril for hypertension and develops a persistent dry cough. What is the nurse's best response?

Accepted Answer

Document the finding and report it to the provider

Answer

Teach the patient to use cough drops to manage the symptom

Answer

Reassure the patient that the cough will resolve after one week

Answer

Administer a PRN antihistamine to suppress the cough

Question 5

Which instruction should the nurse provide to a patient starting atorvastatin (Lipitor)?

Accepted Answer

'Report muscle pain or weakness to your provider promptly.'

Answer

'Take this medication in the morning with breakfast.'

Answer

'Avoid green leafy vegetables while on this medication.'

Answer

'Limit fluid intake to prevent drug accumulation.'

Question 6

A patient with a penicillin allergy is ordered cefazolin. What should the LPN do?

Accepted Answer

Hold the medication and notify the provider of the allergy

Answer

Administer as ordered since the drugs are unrelated

Answer

Administer with diphenhydramine to prevent reaction

Answer

Dilute the medication more to reduce reaction risk

Question 7

Which electrolyte imbalance should the LPN monitor for in a patient receiving amphotericin B?

Accepted Answer

Hypokalemia

Answer

Hypernatremia

Answer

Hypercalcemia

Answer

Hypermagnesemia