ATI RN
ATI Pharmacology Proctored Exam 2024 Questions
Question 1 of 9
A client is being taught about taking Tetracycline to treat a GI infection caused by Helicobacter pylori. Which of the following statements should indicate to the nurse that the client understands the instructions?
Correct Answer: B
Rationale: The correct answer is B. Diarrhea can indicate the development of a suprainfection, which can be serious. Therefore, it is essential for the client to notify the healthcare provider if they experience diarrhea while taking Tetracycline to treat a GI infection caused by Helicobacter pylori.
Question 2 of 9
A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion. The patient asks the nurse why he has to be on two medications. The nurse™s response is based on which rationale?
Correct Answer: D
Rationale: Heparin is a fast-acting, short-term anticoagulant that is often used to rapidly initiate anticoagulation in situations where immediate blood thinning is necessary, such as in patients with certain medical conditions or undergoing procedures. On the other hand, warfarin (Coumadin) is a slower-acting, longer-term anticoagulant that takes time to reach therapeutic levels in the bloodstream. By using heparin to start anticoagulation, the patient is protected against clot formation while waiting for the warfarin to reach adequate levels to provide ongoing anticoagulation therapy. This approach minimizes the risk of clot formation during the transition period between medications.
Question 3 of 9
When educating a client who has a prescription for Propranolol, what instruction should the healthcare provider include?
Correct Answer: D
Rationale: The correct instruction is not to stop taking Propranolol abruptly. Abrupt cessation can lead to rebound hypertension or other cardiac complications. It is essential for the client to taper off the medication gradually under the supervision and guidance of a healthcare provider to avoid adverse effects.
Question 4 of 9
A client who has been taking prednisone to treat asthma is advised to discontinue the medication. The client should be instructed to reduce the dose gradually to prevent which of the following adverse effects?
Correct Answer: B
Rationale: Abruptly stopping prednisone can result in adrenocortical insufficiency due to suppression of the adrenal glands. Gradually tapering the dose helps the body to adjust and resume its natural cortisol production, preventing adrenal insufficiency.
Question 5 of 9
A client is being educated by a healthcare provider about a new prescription for Digoxin. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B. Visual disturbances, such as blurred vision or seeing halos, can be a sign of digoxin toxicity. It is crucial for the client to report any changes in vision to their healthcare provider promptly to prevent serious complications.
Question 6 of 9
When admitting a client and completing a preassessment before administering medications, which of the following data should the nurse include? (Select all that apply.)
Correct Answer: A
Rationale: The nurse should inquire about the client's use of herbal teas because they often contain caffeine, which can impact medication biotransformation. This information is crucial to ensure the safe and effective administration of medications and to prevent potential drug interactions.
Question 7 of 9
A client has Diabetes Mellitus, Pulmonary Tuberculosis, and a new prescription for Isoniazid. Which of the following supplements should the nurse expect to administer to prevent an adverse effect of INH?
Correct Answer: B
Rationale: Pyridoxine is administered with Isoniazid to prevent peripheral neuropathy, a common adverse effect of the drug. It is essential to provide this supplement to the client to minimize the risk of developing this adverse effect.
Question 8 of 9
A client has a new prescription for Nitroglycerin to treat angina. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: It is essential to instruct the client to apply the Nitroglycerin patch to a different site each time to prevent skin irritation and ensure consistent absorption of the medication. Rotating application sites helps maintain the effectiveness of the treatment and reduces the risk of skin reactions.
Question 9 of 9
A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.)
Correct Answer: C
Rationale: Liver failure impairs metabolism, leading to increased medication concentrations. To prevent adverse effects, lower dosages are required when liver function is compromised.