ATI RN
ATI RN Pharmacology Questions
Extract:
Nurses' Notes
Laboratory Results
Provider Prescriptions
0900:
The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year. Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn. 2 Days Later:
Provider reviewed laboratory results and prescription written.
A nurse is caring for a female client in a provider's office.
Question 1 of 5
A nurse is caring for a female client in a provider's office. The client reports feeling fatigued and having a heavy menstrual cycle the past year. Upon assessment, the client's conjunctiva and mucosal membranes are pale. The nurse notifies the client and provides teaching about the newly prescribed medication (ferrous sulfate). Which of the following client statements indicates an understanding of the teaching? Select all that apply.
| Options | Understanding | No Understanding |
|---|---|---|
| I should take my medication on an empty stomach. | ||
| I should avoid taking antacids while on this medication. | ||
| If I experience black stools, I should notify my provider. | ||
| I should rinse my mouth after taking this medication. | ||
| I should take this medication with orange juice. |
Correct Answer: A,B,D,E
Rationale:
The correct answer includes statements that demonstrate understanding of medication administration for ferrous sulfate. A: Taking medication on an empty stomach enhances absorption. B: Avoiding antacids prevents decreased absorption. D: Rinsing mouth prevents staining. E: Taking with orange juice aids absorption due to vitamin C. These choices align with best practices for maximizing the effectiveness of ferrous sulfate.
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
3 months ago:
Client seen in provider's office for routine physical. Today:
Client reports dizziness and light-headedness upon standing. Client reports waking up at night to void.
Question 2 of 5
A nurse in a provider's office is caring for a client who reports dizziness and light-headedness upon standing and waking up at night to void. What actions should the nurse take? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct actions are A, D, and E. A is correct because dizziness and light-headedness can be symptoms of dysrhythmias, so monitoring for any abnormal heart rhythms is crucial. D is correct because the client's symptoms suggest orthostatic hypotension, so checking for this condition is important. E is correct because advising the client to change positions slowly can help prevent dizziness and falls associated with orthostatic hypotension. B is incorrect as restricting potassium intake is not indicated for these symptoms. C is incorrect as there is no mention of medication in the scenario.
Extract:
Vital Signs
Nurses' Notes
1 week ago:
Temperature 37° C (98.6° F)
Heart rate 64/min
Respiratory rate 12/min
Blood pressure 118/72 mm Hg
Today.
Temperature 37.2° C (98.9° F)
Heart rate 82/min
Respiratory rate 16/min
Blood pressure 110/68 mm Hg
Question 3 of 5
A nurse is caring for a client in the clinic. Which of the following client statements indicates to the nurse the teaching about methotrexate for stomatitis was effective? Select all that apply.
Correct Answer: A,B,C
Rationale:
Correct
Answer: A, B, C
Rationale:
A: Avoiding alcoholic beverages is crucial as methotrexate can cause liver toxicity, and alcohol can further stress the liver.
B: Consuming soft or semisolid foods is recommended to minimize irritation to the mouth and help with swallowing.
C: Rinsing with saline helps to keep the mouth clean and decrease the risk of infection.
Summary:
D: Avoiding folic acid supplements is incorrect as methotrexate depletes folic acid, and supplementation may be necessary.
E: Using a firm-bristle toothbrush can exacerbate stomatitis; a soft-bristle brush is recommended for oral hygiene.
Extract:
Vital Signs
Nurses' Notes
Provider Prescriptions
Day 1:
Temperature 36.2° C (97.2° F) Respiratory rate 18/min
Heart rate 74/min
Blood pressure 118/68 mm Hg SpO2 96% on room air
Day 7:
Temperature 36.9° C (98.4° F) Respiratory rate 18/min
Heart rate 86/min
Blood pressure 98/66 mm Hg
SpO2 97% on room air
Question 4 of 5
A nurse is caring for a client in a provider's office. Which of the following statements should the nurse include when teaching the client about the prescribed medication (levodopa-carbidopa)? Select all that apply.
Correct Answer: A,B,D,E,F
Rationale: The correct answers are A, B, D, E, and F. Levodopa-carbidopa is a medication commonly used for Parkinson's disease. A: Increase in involuntary movements is a common side effect. B: Nausea can occur, so taking it with a meal can help. D: Vivid nightmares are a potential side effect. E: Orthostatic hypotension can happen, leading to lightheadedness upon standing. F: High protein meals can reduce medication effectiveness due to competition for absorption.
Choices C and G are incorrect because changes in urine color are not typically associated with this medication, and G is not applicable since it is not a statement related to teaching about the medication.
Extract:
Question 5 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: B
Rationale: The correct answer is B: Heart rate. Propranolol is a beta-blocker that primarily affects the heart by decreasing heart rate and blood pressure.
Therefore, assessing the client's heart rate before administering propranolol is crucial to ensure it is not already too low. This assessment helps prevent potential adverse effects such as bradycardia or hypotension.
Temperature (
A), respiratory rate (
C), and pain level (
D) are not directly related to the action of propranolol and are not necessary to assess before administering this medication.