ATI RN
ATI Pharmacology Exam Practice Questions
Question 1 of 5
A client has a new prescription for Pancrelipase. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: 'Take the medication with meals and snacks.' Pancrelipase should be taken with meals and snacks to aid in the digestion of fats, proteins, and carbohydrates. This timing ensures that the medication functions optimally by assisting in the digestion process when food is present in the gastrointestinal system. Choice B is incorrect because urine discoloration is not a common side effect of Pancrelipase. Choice C is incorrect as there is no specific need to increase high-calcium foods with Pancrelipase. Choice D is also incorrect as avoiding dairy products is not necessary when taking Pancrelipase.
Question 2 of 5
Which of the following should the nurse include when providing dietary teaching for the patient receiving warfarin (Coumadin) therapy?
Correct Answer: A
Rationale: The nurse should include the instruction to avoid drinking large amounts of green tea when providing dietary teaching for a patient receiving warfarin (Coumadin) therapy because green tea contains vitamin K, which can interfere with the anticoagulant effects of warfarin. Maintaining consistent intake of vitamin K is important to ensure the effectiveness of warfarin therapy. Therefore, it is recommended for patients on warfarin to consume a consistent amount of vitamin K-containing foods and avoid sudden, significant changes in their intake.
Question 3 of 5
A patient is receiving thrombolytic therapy, and the nurse monitors the patient for adverse effects. What is the most common undesirable effect of thrombolytic therapy?
Correct Answer: D
Rationale: The most common undesirable effect of thrombolytic therapy is bleeding, both internal and superficial. Thrombolytic agents work by dissolving blood clots, which can lead to an increased risk of bleeding. Patients receiving thrombolytic therapy should be closely monitored for signs of bleeding, such as easy bruising, petechiae, hematomas, or gastrointestinal bleeding. It is essential for healthcare providers to assess and manage the risk of bleeding while administering thrombolytic therapy to minimize potential complications. Dysrhythmias, nausea and vomiting, and anaphylactic reactions are less common adverse effects of thrombolytic therapy compared to bleeding.
Question 4 of 5
A patient is receiving an IV infusion of heparin and was started on warfarin therapy the night
Correct Answer: D
Rationale: The correct statement is that the heparin provides anticoagulation until therapeutic levels of warfarin are reached. Heparin has an immediate onset of action and is used initially to rapidly provide anticoagulation. Warfarin, on the other hand, has a delayed onset of action and requires several days to reach therapeutic levels in the bloodstream. Therefore, heparin is often overlapped with warfarin until the latter reaches its full anticoagulant effect. This overlapping strategy helps prevent a gap in anticoagulation and reduces the risk of blood clots. So, the statement that the heparin provides anticoagulation until therapeutic levels of warfarin are reached is the most correct in this case.
Question 5 of 5
The nurse notes in the patient™s medication orders that the patient will be taking ibutilide (Corvert). Based on this finding, the nurse interprets that the patient has which disorder?
Correct Answer: B
Rationale: Ibutilide (Corvert) is a class III antiarrhythmic medication primarily used for the treatment of atrial fibrillation and atrial flutter. It works by prolonging the action potential duration and refractory period of atrial tissue. Therefore, when a nurse notes that a patient will be taking ibutilide, it indicates that the patient likely has atrial fibrillation, a common arrhythmia characterized by rapid, irregular electrical activity in the atria of the heart.