ATI RN
ATI Nurs 180 Pharmacology Quiz Questions
Question 1 of 5
A charge nurse is teaching a group of nurses about the antagonist action of reversal medications. For each medication listed below, click to specify the expected reversal agent.
| Options | Glucagon | Protamine Sulfate | Vitamin K | Digibind |
|---|---|---|---|---|
| Digoxin: Digibind | ||||
| Warfarin: Vitamin K | ||||
| Beta blockers: Glucagon | ||||
| Heparin: Protamine sulfate |
Correct Answer: A,B,C,D
Rationale: The correct answer is - A,B,C,D.
- Digoxin toxicity is reversed by Digibind (Digoxin: Digibind).
- Warfarin overdose is reversed by Vitamin K (Warfarin: Vitamin K).
- Beta blockers toxicity is reversed by Glucagon (Beta blockers: Glucagon).
- Heparin overdose is reversed by Protamine sulfate (Heparin: Protamine sulfate).
Other choices are incorrect because they do not match the specific reversal agents for the mentioned medications.
Question 2 of 5
The nurse is caring for a client who suffers from frequent blood clots and is currently taking argatroban. Which of the following conditions in the client's medical history would require them to take argatroban?
Correct Answer: A
Rationale: The correct answer is A: Heparin induced thrombocytopenia (HIT). Argatroban is a direct thrombin inhibitor used in patients with heparin-induced thrombocytopenia, a potentially life-threatening complication of heparin therapy. HIT is characterized by a drop in platelet count and an increased risk of blood clot formation. Argatroban helps prevent further clot formation by inhibiting thrombin activity. Ventricular Dysfunction (
B), Myocardial infarction (
C), and Hepatotoxicity (
D) do not specifically require the use of argatroban. Ventricular Dysfunction and Myocardial Infarction may require anticoagulant therapy, but argatroban is not the first-line treatment for these conditions. Hepatotoxicity is a condition affecting the liver, not directly related to the need for argatroban therapy.
Question 3 of 5
A client presents to the emergency healthcare setting and diagnosed with a life-threatening ventricular dysrhythmia. Which of the following medications would the nurse begin to prepare?
Correct Answer: D
Rationale: The correct answer is D: Procainamide. This medication is a Class I antiarrhythmic agent that is effective in treating ventricular dysrhythmias. It works by stabilizing the cardiac cell membrane and decreasing the conduction velocity in the heart. Atenolol (
A) and Lisinopril (
B) are not appropriate choices for ventricular dysrhythmias. Adenosine (
C) is used for supraventricular tachycardia, not ventricular dysrhythmias. In summary, Procainamide is the correct choice due to its effectiveness in treating ventricular dysrhythmias by stabilizing the cardiac cell membrane and slowing conduction velocity.
Question 4 of 5
The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?
Correct Answer: A
Rationale: The correct response is A: "What can we do to accommodate your needs during your stay here?" This answer demonstrates cultural competence and respect for the client's religious beliefs. It shows a willingness to work with the client to ensure their needs are met while in the healthcare setting.
Choice B is incorrect because it dismisses the client's needs and fails to address the situation appropriately.
Choice C is incorrect as it imposes the nurse's beliefs on the client and disregards the importance of the client's religious practices.
Choice D is incorrect as it is not relevant to the client's religious fasting requirements.
Question 5 of 5
A client with hypertension and benign prostate hyperplasia is prescribed doxazosin (Cardura). Which of the following statements below would the nurse emphasize regarding doxazosin (Cardura)?
Correct Answer: D
Rationale: The correct answer is D. Doxazosin is an alpha-blocker used to treat hypertension and benign prostate hyperplasia. The nurse would emphasize lying down after taking the first dose to prevent first-dose hypotension, which can lead to dizziness. This is important to prevent falls and injuries.
Choice A about increasing potassium intake is unrelated to the medication.
Choice B about weighing daily is not specific to doxazosin and is more related to monitoring for fluid retention.
Choice C about impaired taste is not a common side effect of doxazosin.