ATI RN
ATI Pharmacology Proctored Exam 2019 Questions
Question 1 of 5
A client is prescribed Propranolol for a dysrhythmia. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct action the nurse should plan to take when administering Propranolol is to assist the client when sitting up or standing after taking the medication. Propranolol can lead to orthostatic hypotension, causing dizziness upon sudden position changes. It is essential to help the client with position changes to prevent falls or injury.
Question 2 of 5
A healthcare professional is preparing to administer Filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following interventions is appropriate?
Correct Answer: D
Rationale: When administering Filgrastim, only one dose should be withdrawn from the vial, and the vial should then be discarded. This medication should not be shaken but gently inverted to mix it before withdrawing the appropriate dose. It is important to follow these guidelines to ensure the medication's efficacy and prevent contamination or errors in dosing. Refrigeration is not required for Filgrastim; it should be stored at room temperature until just before administration.
Question 3 of 5
During transfusion of a unit of whole blood, a nurse is assessing a client who develops a cough, shortness of breath, elevated blood pressure, and distended neck veins. The nurse should anticipate a prescription for which of the following medications?
Correct Answer: C
Rationale: The client's symptoms indicate circulatory overload, which can occur during blood transfusions. Furosemide, a loop diuretic, is commonly prescribed in such cases to help relieve manifestations of circulatory overload by promoting diuresis and reducing fluid volume. Epinephrine is used for severe allergic reactions, lorazepam for anxiety or seizures, and diphenhydramine for mild allergic reactions or as a sedative.
Question 4 of 5
A client has a new prescription for methotrexate to treat Rheumatoid Arthritis. The nurse should expect to monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Bone marrow suppression. Methotrexate is a disease-modifying antirheumatic drug (DMARD) commonly used to treat Rheumatoid Arthritis. One of the most significant adverse effects of methotrexate is bone marrow suppression, which can lead to decreased production of blood cells (anemia, leukopenia, thrombocytopenia). Monitoring for signs of infection, anemia, and easy bruising is crucial when a patient is on methotrexate therapy. Option A) Insomnia is incorrect because methotrexate is not known to cause insomnia as an adverse effect. Option B) Hypertension is also incorrect because methotrexate does not typically cause hypertension. Option D) Constipation is not a common adverse effect of methotrexate either. Educationally, understanding the potential adverse effects of medications is essential for nurses to provide safe and effective care to their patients. Monitoring for specific adverse effects based on the medication prescribed can help prevent complications and improve patient outcomes. In the case of methotrexate, being vigilant for bone marrow suppression is critical in ensuring the patient's safety and well-being.
Question 5 of 5
A client has a new prescription for clonidine to treat hypertension. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct instruction for a client starting clonidine therapy for hypertension is to avoid driving until their reaction to the medication is known. Clonidine can cause drowsiness, so it is important for the client to refrain from activities that require alertness until they are aware of how the medication affects them. This precaution ensures the client's safety and the safety of others while taking the medication.