ATI RN
ATI n200 Pharmacology Exam Questions
Question 1 of 5
The nurse should teach the client who is taking digoxin 0.125 mg PO daily to call the healthcare provider if which side effect is experienced?
Correct Answer: C
Rationale: The correct answer is C: Visual disturbances. Digoxin is known to cause visual disturbances, such as blurred or yellow-tinted vision, which can indicate toxicity. The nurse should teach the client to report this side effect promptly to the healthcare provider to prevent serious complications. Tinnitus (choice
A) is a common side effect of digoxin but not as concerning as visual disturbances. Constipation (choice
B) and vertigo (choice
D) are not typically associated with digoxin use.
Question 2 of 5
The nurse, who is caring for a client diagnosed with coronary artery disease, prioritizes the problem of impaired Tissue Perfusion into the plan of care. Which expected outcome would be most appropriate? The client will:
Correct Answer: A
Rationale: The correct answer is A: express no complaints of chest discomfort or shortness of breath. Impaired Tissue Perfusion in coronary artery disease can lead to inadequate blood flow to the heart muscle, causing chest discomfort and shortness of breath.
Therefore, the expected outcome of the client expressing no complaints indicates adequate tissue perfusion, which is the priority in this case.
Choice B is incorrect because discussing lifestyle modifications is important but not directly related to the priority of impaired tissue perfusion.
Choice C is incorrect as clear breath sounds do not directly indicate tissue perfusion in the coronary arteries.
Choice D is incorrect as urinary output is not directly related to tissue perfusion in coronary artery disease.
Question 3 of 5
Which statement, made by the client with coronary artery disease, alerts the nurse that the client may be experiencing difficulty adapting to the illness?
Correct Answer: A
Rationale: The correct answer is A because waiting for two hours after feeling chest discomfort before seeking medical attention indicates a lack of urgency in addressing potential cardiac issues, suggesting difficulty adapting to the illness. This delay could lead to serious consequences like a heart attack.
Choice B shows awareness of the importance of carrying medication, which is a positive approach.
Choice C indicates a proactive attitude towards dietary changes.
Choice D acknowledges anxiety, which is a common emotional response to illness but doesn't specifically indicate difficulty adapting.
Question 4 of 5
The nurse obtains a prescription for furosemide 40 mg IV for a client who has pulmonary congestion as the result of fluid volume overload. The nurse assesses the vital signs to be T-98.6, P-110, RR-24 and BP-90/60. What is the most appropriate action at this time?
Correct Answer: A
Rationale: The correct answer is A: Withhold the dose and reassess the blood pressure in 30 minutes. The client's low blood pressure (90/60) indicates hypotension, which can be exacerbated by the administration of furosemide, a diuretic that can further decrease blood pressure. Withholding the dose allows the nurse to monitor the client's blood pressure closely and reassess for signs of hypotension before administering the medication. This cautious approach prioritizes the safety of the client by preventing potential complications from administering the medication when the blood pressure is already low.
Choice B is incorrect because administering the medication without addressing the low blood pressure could worsen the client's condition.
Choice C is incorrect as it does not address the existing low blood pressure.
Choice D is incorrect as oral furosemide may not be appropriate for a client with acute pulmonary congestion and fluid overload.
Question 5 of 5
The nurse, who is assessing a client with peripheral vascular disease, notes that the client has no hair on the legs and has thick toenails. Which statement best describes the cause of this finding?
Correct Answer: C
Rationale: The correct answer is C: Decreased oxygen to the tissues causes changes in hair growth and nail texture. In peripheral vascular disease, poor circulation leads to decreased oxygen delivery to the extremities, resulting in reduced hair growth and thickened toenails. This is known as peripheral vascular disease-related changes.
Choice A is incorrect because these findings are not considered normal based solely on age.
Choice B is incorrect as hair loss and thick toenails do not directly indicate a blood clot requiring immediate intervention.
Choice D is incorrect as the changes are not primarily hereditary or related to fungus.