ATI RN
ATI Pharmacology Proctored Exam 2019 Questions
Question 1 of 5
A client has a new prescription for Atorvastatin. Which of the following instructions should be included?
Correct Answer: B
Rationale: The correct answer is to avoid drinking grapefruit juice when taking Atorvastatin. Grapefruit juice can interfere with the metabolism of Atorvastatin, leading to increased blood levels of the medication, which can result in a higher risk of adverse effects, such as muscle pain and liver damage. It is important for the client to follow this instruction to ensure the safe and effective use of Atorvastatin.
Question 2 of 5
When teaching a client with a new prescription for Clopidogrel, which laboratory value should the nurse monitor to assess for potential adverse effects?
Correct Answer: B
Rationale: Clopidogrel is an antiplatelet medication that works by reducing the formation of blood clots. Therefore, the nurse should monitor the client's platelet count to assess for potential bleeding complications. A decrease in platelet count could indicate a risk of bleeding, which is an adverse effect associated with Clopidogrel therapy. Monitoring other laboratory values like white blood cell count, hemoglobin, and blood glucose is important for assessing overall health status but is not directly related to the potential adverse effects of Clopidogrel.
Question 3 of 5
When reviewing a client's health record, a nurse notes a new prescription for Lisinopril 10 mg PO once daily. The nurse should identify this as which type of prescription?
Correct Answer: C
Rationale: A routine prescription indicates medications to be administered on a regular schedule without a termination date or a specific number of doses. In this case, Lisinopril 10 mg PO once daily falls under a routine prescription, meaning the nurse will administer this medication daily until the provider discontinues it.
Question 4 of 5
A healthcare professional is preparing to administer furosemide 80 mg PO daily. The available furosemide oral solution is 10 mg/1 mL. How many mL should the healthcare professional administer?
Correct Answer: A
Rationale: In this question, the correct answer is A) 8 mL. To determine the correct dosage of furosemide oral solution, one must first calculate the total amount of medication needed. In this case, the patient requires 80 mg of furosemide daily. Since the oral solution is 10 mg/1 mL, the healthcare professional needs to administer 80 mg / 10 mg/mL = 8 mL. Option B) 10 mL is incorrect because this would be the correct dosage if the patient required 100 mg of furosemide, not 80 mg. Option C) 6 mL is incorrect because it does not provide the full 80 mg dosage required by the patient. Option D) 12 mL is incorrect as it would exceed the required 80 mg dosage, potentially leading to medication errors and adverse effects. Understanding medication dosages and calculations is crucial for healthcare professionals to ensure accurate and safe administration of medications. It is essential for them to be proficient in converting between different units of measurement and calculating correct dosages based on patient needs to prevent medication errors and ensure optimal patient outcomes.
Question 5 of 5
A healthcare professional is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse over 6 hr. How many mL/hr should the IV pump be set to deliver?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) 125 mL/hr. To determine the correct infusion rate, we first need to calculate the total volume to be infused over 6 hours, which is 750 mL. Then, we divide this total volume by the total time in hours (6 hours) to get the infusion rate per hour. Therefore, 750 mL ÷ 6 hours = 125 mL/hr. Option B) 100 mL/hr is incorrect because this rate would result in the infusion taking longer than the specified 6 hours, which would not deliver the medication as prescribed. Option C) 150 mL/hr is incorrect because this rate would infuse the solution too quickly, potentially causing adverse effects related to fluid overload or rapid changes in blood glucose levels. Option D) 200 mL/hr is incorrect because this rate is too high and would deliver the solution at a rate that could be harmful to the patient, leading to potential complications such as fluid overload or electrolyte imbalances. Understanding infusion rates is crucial in pharmacology to ensure the safe and effective administration of medications. Healthcare professionals must calculate and set the correct infusion rate to deliver medications accurately and avoid adverse outcomes for the patient. This question assesses the healthcare professional's ability to calculate and apply infusion rate concepts in a clinical setting, emphasizing the importance of accuracy and patient safety in medication administration.