ATI RN
2019 ATI Pharmacology Proctored Exam Questions
Question 1 of 5
Barbiturates are contraindicated in a dental patient with: II. emphysema III. Undiagnosed severe pain III. hypertension IV. Acute intermittent porphyria
Correct Answer: A
Rationale: Barbiturates are central nervous system depressants that can exacerbate conditions such as emphysema, hypertension, and acute intermittent porphyria.
Question 2 of 5
Which of the following diuretics inhibits sodium reabsorption in the kidneys while saving K+ and Hydrogen ions?
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic, which means it inhibits sodium reabsorption in the kidneys, while saving potassium and hydrogen ions. It accomplishes this by acting as an aldosterone antagonist, blocking the action of aldosterone. Aldosterone is a hormone that normally promotes sodium reabsorption in the kidneys and leads to potassium and hydrogen ion excretion. By inhibiting aldosterone, spironolactone promotes sodium excretion while conserving potassium and hydrogen ions.
Question 3 of 5
What nursing interventions should you do when a patient is on Albuterol (select all that apply)
Correct Answer: A
Rationale: A. Assess lung sounds, Pulse, and Blood pressure before administering: It is important to assess the patient's baseline lung sounds, pulse rate, and blood pressure before administering Albuterol to monitor for any changes that may occur after administration. This is crucial in determining the effectiveness of the medication and detecting any potential side effects.
Question 4 of 5
The nurse is administering Penicillin to a patient who has tested positive for strep throat. The nurse knows to look for which of the following adverse effects as a sign of an acute allergic reaction?
Correct Answer: C
Rationale: When administering Penicillin, one of the adverse effects to watch out for as a sign of an acute allergic reaction is the development of a skin rash or hives. This reaction may indicate an allergic response to the medication. It is important for the nurse to monitor the patient closely for any signs of an allergic reaction, including skin changes, and to act promptly if such symptoms arise. An acute allergic reaction can progress to a severe life-threatening condition known as anaphylaxis, so prompt recognition and intervention are critical in such cases.
Question 5 of 5
The nurse is administering Penicillin to a patient who has tested positive for strep throat. The nurse knows to look for which of the following adverse e昀昀ects as a sign of an acute allergic reaction?
Correct Answer: C
Rationale: An acute allergic reaction to Penicillin can present with symptoms such as skin rash or hives. This is a common sign of an allergic reaction and can indicate the patient is having an adverse response to the medication. It is essential for the nurse to monitor the patient closely for any signs of allergic reactions, including hives, as they can quickly progress to more severe reactions such as anaphylaxis. Other adverse effects listed in the choices, such as blurred vision, tinnitus, and vomiting, are not typically associated with an acute allergic reaction to Penicillin.