ATI RN
ATI Pharmacology 2016 Practice Exam A Questions
Question 1 of 5
A client has a new prescription for Zolpidem. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Zolpidem is classified as Pregnancy Risk Category C. It is important for the client to inform the provider if they plan to become pregnant because the medication may need to be adjusted or changed to ensure the safety of the fetus. This communication allows for appropriate monitoring and adjustments to be made to the treatment plan.
Question 2 of 5
A client is receiving spironolactone. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A serum potassium level of 5.2 mEq/L indicates hyperkalemia. Spironolactone is a potassium-sparing diuretic that can lead to potassium retention. The nurse should notify the provider and withhold the medication to prevent further elevation of potassium levels, which can result in serious cardiac complications.
Question 3 of 5
A client in an acute care facility is receiving IV Nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Delirium. Nitroprusside is a potent vasodilator used to treat hypertensive crises. One of the most significant adverse reactions associated with nitroprusside is cyanide toxicity, which can manifest as delirium due to its impact on the central nervous system. It is crucial for the nurse to monitor for this adverse reaction to ensure prompt intervention and prevent further complications. Option A) Intestinal ileus is not a common adverse reaction to nitroprusside. Neutropenia (Option B) refers to a low level of neutrophils and is not typically associated with nitroprusside use. Hyperthermia (Option D) is also not a common adverse reaction to this medication. Educationally, understanding the potential adverse reactions of medications is essential for nurses to provide safe and effective care to their patients. Monitoring for and recognizing adverse reactions promptly can prevent serious complications and improve patient outcomes. This knowledge underscores the importance of pharmacology education in nursing practice.
Question 4 of 5
A client with Angina Pectoris asks the nurse about the next step if one tablet does not relieve Anginal pain after waiting 5 minutes. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: In a situation where Anginal pain persists after taking one sublingual tablet and waiting 5 minutes, it is crucial to call emergency services (911) immediately. This could indicate a myocardial infarction (heart attack) rather than a typical Anginal attack. The client can take a second sublingual tablet while waiting for emergency assistance. If the pain persists after taking the second tablet, a third tablet can be taken after an additional 5 minutes. Prompt action is essential in such situations to ensure appropriate and timely medical intervention.
Question 5 of 5
In caring for a client who received IV Verapamil to treat supraventricular tachycardia (SVT) and presents with a pulse rate of 98/min and blood pressure of 74/44 mm Hg, the nurse should anticipate a prescription for which of the following IV medications?
Correct Answer: A
Rationale: In this scenario, the client is experiencing severe hypotension due to Verapamil administration. The appropriate medication to counteract the vasodilation caused by Verapamil and reverse severe hypotension is Calcium gluconate, which should be administered slowly IV. Therefore, the correct choice is Calcium gluconate (Choice A).