ATI RN
ATI Pharmacology Exam Final Questions
Question 1 of 5
A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: D
Rationale: The correct answer is D: Levothyroxine. Levothyroxine is a synthetic form of the thyroid hormone that is used to treat hypothyroidism by replacing the deficient hormone. The nurse should instruct the client on how to take the medication consistently, usually in the morning on an empty stomach. Levofloxacin (
A) is an antibiotic used to treat infections, not hypothyroidism. Radioactive iodine (
B) is used to treat hyperthyroidism, not hypothyroidism. Sumatriptan (
C) is used to treat migraines, not hypothyroidism. In summary, the nurse should prepare to instruct the client on taking Levothyroxine to manage hypothyroidism effectively.
Question 2 of 5
A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication?
Correct Answer: A
Rationale: The correct answer is A: Relief of gastrointestinal pain. Sucralfate is a medication that forms a protective layer over ulcers in the stomach and intestines, helping to relieve pain and promote healing.
Therefore, relief of gastrointestinal pain indicates a therapeutic effect.
Choice B, improvement of impaired vision, is not related to sucralfate use.
Choice C, prevention of opportunistic infections, is not a known effect of sucralfate.
Choice D, alleviating Helicobacter pylori infection, is typically managed with antibiotics rather than sucralfate.
Question 3 of 5
A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. The nurse should recognize that Which of the following findings is a contraindication for the client receiving the live attenuated influenza vaccine (LAV)?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because the live attenuated influenza vaccine (LAV) is not recommended for individuals aged 50 and above. The client's age of 62 falls within this category, making it a contraindication. This is due to the potential for decreased immune response and increased risk of adverse effects in older adults.
Summary of other choices:
A: History of myocardial infarction is not a contraindication for LAV.
B: Smoking is not a contraindication for LAV.
D: Traveling to Europe is not a contraindication for LAV.
Therefore, choices A, B, and D are incorrect as they are not contraindications for receiving the live attenuated influenza vaccine.
Question 4 of 5
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO Without discontinuing the heparin. The client asks the nurse Why both anticoagulants are necessary. Which of the following Statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A. Warfarin takes several days to work because it inhibits clotting factors that are already present in the bloodstream. Thus, the IV heparin will be continued until the warfarin reaches a therapeutic level to ensure continuous anticoagulation and prevent clot formation.
Explanation for why other choices are incorrect:
B: Discontinuing the IV heparin abruptly can increase the risk of clot formation as warfarin takes time to reach therapeutic levels.
C: IV heparin and warfarin do not directly affect the length of hospital stay, and IV heparin does not increase the effects of warfarin.
D: While both heparin and warfarin are anticoagulants, they do not work together to dissolve clots; rather, they prevent further clot formation.
Question 5 of 5
A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: It might take up to 3 days for the medication to work. This statement shows understanding because docusate sodium is a stool softener used to prevent constipation caused by opioid pain medications. It works by promoting water and fat penetration into stool, making it easier to pass. However, it is not a fast-acting medication and may take a few days to show its effects. This response demonstrates the client's comprehension of the medication's mechanism and expected timeline.
Incorrect
Choices:
A: I will take the medication for diarrhea - This is incorrect as docusate sodium is not used to treat diarrhea.
B: I can take this medication along with mineral oil - This is incorrect because combining docusate sodium with mineral oil can lead to decreased effectiveness and potential adverse effects.
C: I should drink 4 ounces of water when I take the medication - While staying hydrated is important when taking docusate sodium, this statement does not specifically show understanding of the medication