LPN LPN: Pharmacological Therapies 4

Question 1

A patient taking phenytoin (Dilantin) for seizures should be taught to report which finding to the provider?

Accepted Answer

Gingival hyperplasia (gum overgrowth)

Answer

Mild drowsiness during the first week

Answer

Slight nausea with the first dose

Answer

Increased appetite after starting the medication

Question 2

A patient is prescribed albuterol (ProAir) and fluticasone (Flovent) inhalers. In what order should they be administered?

Accepted Answer

Albuterol first, then fluticasone 5 minutes later

Answer

Fluticasone first, then albuterol 5 minutes later

Answer

Both inhalers can be used simultaneously

Answer

Administer based on whichever symptom is more severe

Question 3

A patient is ordered morphine 2-4 mg IV PRN for pain rated 7/10. The last dose was 3 hours ago. Which action is appropriate?

Accepted Answer

Administer 4 mg IV since the pain is severe

Answer

Withhold the dose since only 3 hours have passed

Answer

Administer 2 mg and reassess pain in 30 minutes

Answer

Contact the provider to request an increase in dose frequency

Question 4

Which laboratory value indicates that a patient's INR therapeutic goal is being met for atrial fibrillation management with warfarin?

Accepted Answer

INR 2.5

Answer

INR 1.0

Answer

INR 4.5

Answer

INR 0.5

Question 5

A patient prescribed lithium for bipolar disorder should be taught to maintain adequate intake of which substance to prevent toxicity?

Accepted Answer

Sodium

Answer

Calcium

Answer

Potassium

Answer

Magnesium

Question 6

A patient receiving chemotherapy is prescribed ondansetron. What is the primary purpose of this medication?

Accepted Answer

To prevent chemotherapy-induced nausea and vomiting

Answer

To prevent infection during immunosuppression

Answer

To stimulate white blood cell production

Answer

To treat chemotherapy-related mouth sores

Question 7

Which sign or symptom is most indicative of acetaminophen overdose in the later stages?

Accepted Answer

Jaundice and right upper quadrant pain

Answer

Hypertension and bradycardia

Answer

Respiratory alkalosis and tachypnea

Answer

Hypoglycemia and cold clammy skin