ATI RN
ATI RN Pharmacology 2023 Retake 2 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: B
Rationale: The correct answer is B: Decreased ascites. Spironolactone is a diuretic commonly used in liver cirrhosis to reduce fluid retention and ascites. As the medication helps the kidneys excrete excess fluid, a decrease in ascites signifies a positive response to treatment. Increased energy (
A) and increased appetite (
C) are not direct indicators of spironolactone's effectiveness in treating cirrhosis. Decreased jaundice (
D) may improve with liver function but is not a specific response to spironolactone.
Question 2 of 5
A nurse is caring for a client who is receiving high-dose metalopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide, a medication that promotes gastric emptying, can lead to tardive dyskinesia, a movement disorder characterized by involuntary muscle movements. Monitoring for this adverse effect is crucial due to its serious and potentially irreversible nature. Black stools (
A) are more commonly associated with gastrointestinal bleeding. Dry cough (
B) is not a common side effect of metoclopramide. Oral candidiasis (
C) is a fungal infection in the mouth and is not directly related to metoclopramide use.
Question 3 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: B
Rationale: The correct answer is B: Pruritus. Pruritus, or itching, is a common symptom of an allergic reaction. When a client develops pruritus after taking cefaclor, it indicates a potential allergic response. Hematuria, slurred speech, and tremor are not typically associated with allergic reactions to cefaclor. Hematuria suggests a possible kidney-related issue, slurred speech may indicate neurological impairment, and tremor could be a side effect of the medication but not necessarily an allergic reaction.
Question 4 of 5
A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C. TPN provides nutrients while giving the bowels time to rest. This is important because TPN bypasses the digestive system, allowing the bowels to rest and heal.
Choice A is incorrect as TPN does not stimulate appetite.
Choice B is incorrect as TPN is not primarily for medication absorption.
Choice D is incorrect as TPN is not used to keep bowels clear for surgery.
Question 5 of 5
A nurse is preparing an educational training session about collaborating with the provider to prevent medication errors. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Providers should cosign all verbal prescriptions. This is essential to prevent medication errors by ensuring accountability and double-checking the accuracy of the prescription. Cosigning adds an additional layer of safety by involving another healthcare professional in the process. Reading back prescriptions (
A) is important for all medications, not just high alert ones, to confirm understanding. Utilizing assistive personnel as a witness (
C) may introduce potential for miscommunication or errors. Safe abbreviations (
D) should be used by all healthcare professionals, not just providers, to reduce errors.