ATI RN
ATI Proctored Pharmacology Test Questions
Question 1 of 5
A healthcare professional is reviewing the medication list of a client who has a new prescription for Metformin to treat type 2 diabetes. Which of the following medications should the healthcare professional identify as placing the client at risk for lactic acidosis?
Correct Answer: A
Rationale: Metformin is known to have a risk of causing lactic acidosis, particularly in clients with renal impairment or predisposing conditions. Lactic acidosis is a rare but serious adverse effect of metformin use that can be life-threatening. Metoprolol, Lisinopril, and Insulin do not have a known association with lactic acidosis. Healthcare professionals should monitor clients prescribed metformin carefully, especially those with risk factors, to detect and manage lactic acidosis promptly.
Question 2 of 5
When educating a client who has a new prescription for Levothyroxine to treat hypothyroidism, which of the following instructions should be included?
Correct Answer: A
Rationale: Levothyroxine should be taken first thing in the morning before eating to ensure optimal absorption. Taking it on an empty stomach helps prevent interactions with food or other medications that may decrease its effectiveness. It is important to follow this timing recommendation to maintain consistent thyroid hormone levels in the body.
Choice B is incorrect as taking Levothyroxine at bedtime may lead to inconsistent absorption and affect its efficacy.
Choice C is incorrect because taking Levothyroxine with food can interfere with its absorption.
Choice D is incorrect as Levothyroxine should be taken with a full glass of water, not milk, to aid in proper absorption.
Question 3 of 5
A client has a new prescription for lisinopril. Which of the following findings should the nurse monitor as an adverse effect of this medication?
Correct Answer: A
Rationale: A common adverse effect of lisinopril is a persistent dry cough. Lisinopril is an ACE inhibitor that can cause irritation in the respiratory tract, leading to a cough. Monitoring for a persistent cough is essential as it may indicate a serious adverse effect that requires medical attention. Hyperglycemia (
Choice
B) is not a common adverse effect of lisinopril. Headache (
Choice
C) and dry mouth (
Choice
D) are not typically associated with lisinopril use.
Therefore, the correct answer is A: Cough.
Question 4 of 5
How should the oral form of albuterol be taken?
Correct Answer: A
Rationale: The correct way to take oral albuterol is with meals to minimize gastric irritation. Taking it with food can help reduce the risk of stomach upset that may occur when the medication is taken on an empty stomach. This approach can improve tolerability and adherence to the treatment regimen.
Choices B, C, and D are incorrect because taking albuterol before meals, after meals, or in the morning with milk does not address the issue of minimizing gastric irritation, which is a common side effect of the medication.
Question 5 of 5
A client has a new prescription for Digoxin. Which of the following instructions should the nurse provide?
Correct Answer: A
Rationale: Clients prescribed Digoxin should monitor their heart rate before each dose. This is essential to identify any potential bradycardia, defined as a heart rate below 60 bpm, which can be a side effect of Digoxin. Any significant changes in heart rate should be reported promptly to the healthcare provider for further evaluation and management.
Choice B is incorrect because increasing intake of high-potassium foods can lead to hyperkalemia, a condition that can be exacerbated by Digoxin.
Choice C is incorrect as taking Digoxin with a full glass of milk is not necessary.
Choice D is incorrect as black, tarry stools are not an expected side effect of Digoxin.