ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Question 1 of 5
Which of the following actions of sucralfate should the nurse include in the teaching for a client who is to start a new prescription for sucralfate for peptic ulcer disease?
Correct Answer: C
Rationale: The correct answer is C: Forms a protective barrier over ulcers. Sucralfate works by forming a protective barrier over ulcers in the stomach and small intestine, providing a physical barrier to prevent further damage from stomach acid. This action helps promote healing of the ulcers.
Choices A, B, and D are incorrect because sucralfate does not decrease stomach acid secretion, neutralize acids in the stomach, or treat ulcers by eradicating H. pylori bacteria. It is important for the nurse to educate the client on the mechanism of action of sucralfate to ensure understanding and adherence to the treatment plan.
Question 2 of 5
Which of the following medications interacts with carbamazepine?
Correct Answer: C
Rationale: The correct answer is C: Estrogen-progestin combination (Non-hormonal forms of contraception). Carbamazepine induces the metabolism of estrogen-based contraceptives, leading to decreased efficacy and potential contraceptive failure. This interaction can result in unintended pregnancies.
Choices A, B, and D do not have significant interactions with carbamazepine.
Question 3 of 5
For which of the following adverse effects should the nurse instruct the client taking acetazolamide for chronic open-angle glaucoma to monitor and report?
Correct Answer: A
Rationale: The correct answer is A: Tingling of fingers. Acetazolamide is a diuretic commonly used to treat glaucoma. Tingling of fingers is associated with electrolyte imbalances caused by the drug's diuretic effect. This symptom may indicate hypokalemia, a potential side effect of acetazolamide. Monitoring and reporting this symptom promptly can prevent serious complications.
Other choices are incorrect because:
B: Constipation is not a common side effect of acetazolamide.
C: Weight gain is unlikely as acetazolamide is a diuretic causing fluid loss.
D: Oliguria, decreased urine output, is not a usual side effect of acetazolamide.
Question 4 of 5
Which of the following medication prescriptions should the nurse identify as being complete?
Correct Answer: C
Rationale: The correct answer is C, Digoxin 0.25 mg PO daily. This prescription is complete because it includes the name of the medication (Digoxin), the dosage (0.25 mg), the route (PO), and the frequency (daily). The dosage is specified, and clear instructions are given for administration.
Choice A is incomplete as it lacks frequency information.
Choice B is incomplete as it lacks the frequency and route of administration.
Choice D is incomplete as it lacks the medication name and dosage information.
Choices E, F, and G are not provided.
Question 5 of 5
Which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. An aPTT of 90 seconds is above the normal range of 30-40 sec, indicating the client is at risk for bleeding due to excessive anticoagulation with heparin. This result should be reported to the provider immediately for further evaluation and possible adjustment of the heparin dose to prevent bleeding complications.
Choices B, C, and D all fall within the normal range for their respective medications, so they do not require immediate reporting.