ATI RN
ATI RN Pharmacology 2023 II Questions
Question 1 of 5
A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?
Correct Answer: D
Rationale: The correct answer is D: Decreased ascites. Spironolactone is a diuretic commonly used in cirrhosis to reduce fluid retention, specifically ascites. As the medication helps the body eliminate excess fluid, a decrease in ascites would indicate that the client is responding to the treatment. Increased appetite (
A) and increased energy (
C) are not directly related to the medication or the treatment of cirrhosis. Decreased jaundice (
B) is more indicative of improved liver function rather than the specific response to spironolactone.
Question 2 of 5
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: B
Rationale: The nurse should clarify the prescription for Nalbuphine with the provider because it is an opioid agonist-antagonist analgesic and could potentially interact with morphine, leading to decreased analgesic effects or increased risk of side effects like respiratory depression. Ondansetron (
A) is commonly used for nausea and vomiting, Insulin glargine (
C) for diabetes, and Acetaminophen (
D) for pain relief, but they do not have significant interactions with morphine.
Question 3 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "You will receive TPN through a central vein." This is because TPN is a form of nutrition that is administered directly into the bloodstream through a central vein to provide essential nutrients when a client is unable to tolerate oral or enteral feedings. Administering TPN through a central vein allows for rapid absorption of nutrients into the bloodstream.
Choice A is incorrect because TPN is not specifically indicated for low platelet count.
Choice C is incorrect because TPN is not used to treat high glucose levels.
Choice D is incorrect because the duration of TPN administration varies based on the client's condition and needs, and it is not always given for 6 months.
Question 4 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?
Correct Answer: A
Rationale: The correct answer is A. Taking a high-ceiling diuretic predisposes the client to digoxin toxicity as both medications can cause hypokalemia, which increases the risk of digoxin toxicity. High-ceiling diuretics like furosemide increase potassium excretion, leading to low potassium levels. Digoxin toxicity is more likely to occur in the setting of low potassium levels because digoxin competes with potassium for binding sites on the sodium-potassium pump in cardiac cells. This competition can result in increased digoxin binding to the pump, leading to toxicity.
Choices B, C, and D are incorrect because they do not directly affect potassium levels or interact with digoxin in a way that predisposes the client to toxicity.
Question 5 of 5
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer IV dextrose. Hypoglycemia in a client receiving parenteral nutrition indicates a low blood sugar level, which can be dangerous. Administering IV dextrose is the appropriate action to quickly raise the blood sugar level. Obtaining arterial blood gases (
Choice
A) is not necessary for managing hypoglycemia. Warming formula to room temperature (
Choice
B) will not address the low blood sugar level. Discontinuing the infusion (
Choice
D) would worsen the hypoglycemia by stopping the source of nutrition.