ATI RN
ATI RN Pharmacology 2019 II Questions
Question 1 of 5
A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I should stay upright for at least 15 minutes after taking this medication." This statement indicates understanding because ferrous gluconate can cause gastrointestinal upset, and staying upright helps prevent irritation to the esophagus. Option A is incorrect because dairy products can hinder iron absorption. Option B is incorrect because black stools are an expected side effect of iron supplements. Option C is incorrect because antacids can decrease iron absorption.
Question 2 of 5
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?
Correct Answer: C
Rationale: The correct answer is C: The client has a negative sputum culture. This outcome indicates adherence to the TB medication regimen because a negative sputum culture signifies a reduction in the number of tuberculosis bacteria in the client's respiratory secretions, showing that the medications are effectively killing the bacteria.
A: The client testing negative for HIV is not directly related to medication adherence for TB treatment.
B: A positive purified protein derivative test indicates exposure to TB and not necessarily medication adherence.
D: The client's liver function test results being within the expected range is important to monitor potential medication side effects but does not confirm adherence.
Therefore, the negative sputum culture is the most indicative outcome of medication adherence in this scenario.
Question 3 of 5
A nurse is caring for a client who has heart failure and monitor when administering lisinopril?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Lisinopril is an ACE inhibitor used to treat heart failure by reducing blood pressure. Monitoring for hypotension is crucial to prevent complications such as dizziness and falls. Bradycardia (
A) is not a common side effect of lisinopril. Hypokalemia (
B) is a possible side effect but not a priority over hypotension. Tinnitus (
D) is not associated with lisinopril administration. It is essential to focus on monitoring for hypotension to ensure the client's safety and well-being during treatment.
Question 4 of 5
A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter?
Correct Answer: B
Rationale: The correct answer is B: Nondominant forearm basilic vein. This site is preferred for peripheral IV catheter placement due to its accessibility, stability, and lower risk of nerve damage compared to other sites. The basilic vein in the forearm is a large, straight vein that is easily palpable and less prone to rolling, making it ideal for successful cannulation. Placing the IV catheter in this location also minimizes the risk of infection and phlebitis. In contrast, choices A, C, and D involve veins in the dominant arm, which may limit the client's mobility and increase the risk of complications. The dorsal veins (choices A and
C) are superficial and more prone to infiltration or dislodgement. The antecubital basilic vein (choice
D) is located near a joint, making it more susceptible to movement-related complications. Ultimately, selecting the nondominant forearm basilic vein ensures safe and effective IV therapy administration.
Question 5 of 5
A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C:
Total bilirubin 1.5 mg/dL. Amitriptyline can cause hepatotoxicity, leading to elevated liver enzymes and bilirubin levels. Elevated bilirubin indicates potential liver damage, so the nurse should report this to the provider for further evaluation.
Incorrect choices:
A: Hct 44% - This is within the normal range and not directly related to amitriptyline use.
B: WBC count 5,000/mm3 - This is within the normal range and not typically affected by amitriptyline.
D: Potassium 4.2 mEq/L - This is within the normal range and not a common concern with amitriptyline use.
In summary, the nurse should report the total bilirubin level as it is indicative of potential liver damage, whereas the other values are within normal limits and not typically affected by amitriptyline.