ATI RN
RN ATI Pharmacology Proctored Exam 2023 with NGN Questions
Question 1 of 5
Why is it important to monitor ins and outs with patients using ACE inhibitors?
Correct Answer: A
Rationale: ACE inhibitors are known to cause a decrease in blood pressure as part of their mechanism of action. Monitoring the patient's blood pressure regularly while on ACE inhibitors is crucial to identify any significant drops that may lead to hypotension. This proactive monitoring allows healthcare providers to adjust the dosage of the medication or provide necessary interventions to prevent adverse effects such as dizziness, syncope, or compromised tissue perfusion. Monitoring ins and outs with patients using ACE inhibitors primarily focuses on assessing for potential decreased blood pressure as a key safety measure during treatment.
Question 2 of 5
A patient asks the nurse to tell her more about a new drug the patient has been prescribed called
Correct Answer: C
Rationale: The response, "This drug is the first medication your health care provider will use to treat your angina," is accurate because Ranexa (ranolazine) is commonly used as a first-line treatment for chronic angina. It is typically prescribed when other angina medications, such as beta-blockers or calcium channel blockers, are not sufficient or well-tolerated by the patient. Ranexa works by helping the heart muscle to relax, which can improve blood flow to the heart and reduce angina symptoms. It is important for the patient to understand that Ranexa is specifically intended to treat angina and should not be used for other conditions without consulting their healthcare provider.
Question 3 of 5
A patient with a history of HF presents to the emergency department with difficulty breathing, cough, and edema of the lower extremities. The nurse anticipates administration of which type of medication?
Correct Answer: C
Rationale: A patient with a history of heart failure (HF) presenting with difficulty breathing, cough, and lower extremity edema is likely experiencing decompensated HF, which is characterized by a decrease in cardiac output and inadequate tissue perfusion. Positive inotropes are medications that increase cardiac contractility, helping to improve the heart's pumping ability. By administering a positive inotrope, such as dobutamine or milrinone, the nurse can help enhance the heart's contractility, increase cardiac output, and improve overall tissue perfusion in the patient with decompensated HF. This can help alleviate symptoms such as difficulty breathing and edema in the lower extremities.
Question 4 of 5
The nurse noted a patient's heart rate decreasing from 45 to 38 while administering atropine 0.3 mg IV. What is the most likely explanation?
Correct Answer: D
Rationale: Atropine is a parasympatholytic drug that blocks the action of the vagus nerve on the heart, typically increasing heart rate. However, in rare cases, atropine can cause an initial paradoxical slowing of the heart rate before the expected increase. This occurs because atropine may initially stimulate the vagus nerve at low doses before blocking its effects. The dose of 0.3 mg IV is relatively low, which could explain this phenomenon. The other options are incorrect because atropine does not stimulate the vagus nerve (
A), the dose is not necessarily too low (
B), and adenosine is not indicated for bradycardia (
C).
Question 5 of 5
A client with osteoporosis is asking the nurse regarding the use of Salmon calcitonin (Miacalcin) nasal spray. The nurse tells the client to do the following, except?
Correct Answer: B
Rationale: Repeating the dose if the spray is not felt is incorrect and can lead to overdose. The delivery system is designed for 30 doses, and unused solution should be discarded. Miacalcin is typically administered as one spray daily in one nostril. Vitamin D supplementation may be recommended to support bone health, but it is not a direct instruction for using Miacalcin.