ATI RN
ATI RN Pharmacology Questions
Question 1 of 5
A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Prime the tubing with 0.9% sodium chloride. This is important to prevent amphotericin B lipid complex from interacting with other medications or substances in the tubing, which could result in precipitation or inactivation. Using a gravity flow set (
A) is not recommended as it may not provide accurate control over the rate of infusion. Discarding the medication if it is yellow (
C) is incorrect because amphotericin B lipid complex is naturally yellow in color. Administering the medication over 2 hr (
D) is also incorrect as the recommended infusion time is typically longer.
Question 2 of 5
A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: The correct answer is A: Leg tenderness. This finding could indicate a potential complication such as deep vein thrombosis associated with oral contraceptives. It is crucial to report this immediately to the provider for further evaluation and intervention to prevent serious consequences.
Choices B, C, and D are common side effects of oral contraceptives that are not typically considered urgent or life-threatening. Reporting leg tenderness promptly is essential for the client's safety.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Drowsiness. Paroxetine is an antidepressant medication that belongs to the selective serotonin reuptake inhibitor (SSRI) class. Drowsiness is a common side effect of SSRIs, including paroxetine. The nurse should instruct the client to monitor for drowsiness because it can affect their daily activities and safety. Alopecia (choice
A), peripheral edema (choice
B), and tinnitus (choice
C) are not common adverse effects associated with paroxetine.
Therefore, the nurse should focus on educating the client about monitoring for drowsiness specifically.
Question 4 of 5
A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?
Correct Answer: B
Rationale: The correct answer is B: Methotrexate. Methotrexate is an immunosuppressant medication that can weaken the immune system's response to vaccines, including the shingles vaccine. This medication can decrease the effectiveness of the vaccine and increase the risk of developing shingles. Estrogen (
A), Metformin (
C), and Esomeprazole (
D) do not have a direct contraindication with the shingles vaccine. Estrogen is a hormone replacement therapy, Metformin is an oral antidiabetic medication, and Esomeprazole is a proton pump inhibitor used to reduce stomach acid.
Therefore, Methotrexate is the correct choice as it can interfere with the vaccine's efficacy.
Question 5 of 5
A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
Correct Answer: C
Rationale: The correct answer is C: Hyponatremia. When a client taking lithium starts a new exercise program, they may experience increased sweating, leading to loss of sodium. This can result in hyponatremia, as lithium can interfere with sodium levels. Hypocalcemia (
A), hypokalemia (
B), and hypomagnesemia (
D) are not typically associated with lithium use or exercise. Sodium imbalance is the most likely concern in this scenario.