ATI RN
Proctored Pharmacology ATI Questions
Question 1 of 5
A client with a urinary tract infection (UTI) is prescribed ciprofloxacin. Which instruction should the nurse provide to the client?
Correct Answer: D
Rationale: Rationale: The correct answer is D) You should report any tendon discomfort you experience while taking this medication. Ciprofloxacin belongs to a class of antibiotics known as fluoroquinolones, which have been associated with tendonitis and tendon rupture as potential adverse effects. It is crucial for the nurse to instruct the client to report any tendon discomfort promptly to prevent serious complications. Option A) If the medication causes an upset stomach, take an antacid at the same time is incorrect because ciprofloxacin should not be taken with antacids containing aluminum, calcium, or magnesium as they can interfere with the absorption of the antibiotic. Option B) Increase your daily fluid intake while taking this medication is incorrect but still important advice for UTI treatment to help flush out the bacteria. However, it is not specific to ciprofloxacin therapy. Option C) This medication can cause photophobia, so avoid direct sunlight exposure is incorrect. While photosensitivity can be a side effect of some medications, it is not a common side effect of ciprofloxacin. In an educational context, this question highlights the importance of understanding the potential side effects and monitoring parameters of specific medications, emphasizing the need for accurate patient education to ensure safe and effective treatment outcomes in pharmacology practice.
Question 2 of 5
A client is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion?
Correct Answer: B
Rationale: The client stating that they have been taking an antacid to help with indigestion while on naproxen requires further discussion as it can indicate gastrointestinal distress or potential interactions between the medications. Antacids may affect the absorption of naproxen or lead to other complications, so it is important for the nurse to address this statement with the client.
Question 3 of 5
A client is taking atorvastatin for hyperlipidemia. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: C
Rationale: Muscle pain should be reported immediately as it can indicate rhabdomyolysis, a severe adverse effect of atorvastatin. Rhabdomyolysis is characterized by muscle pain, weakness, and can lead to serious complications such as kidney damage, making it crucial for the nurse to notify the provider promptly.
Question 4 of 5
A healthcare professional is preparing to administer morphine 4 mg IV to a client. Available is morphine 10 mg/mL. How many mL should the healthcare professional administer?
Correct Answer: B
Rationale: In this pharmacology question, the correct answer is B) 0.4 mL. To determine the correct dosage, you need to use the formula: dose required (4 mg) divided by dose available (10 mg/mL) = volume to administer (X mL). So, 4 mg / 10 mg/mL = 0.4 mL. Option A) 0.2 mL is incorrect because it is too low of a dosage. Option C) 0.6 mL and Option D) 0.8 mL are also incorrect because they exceed the required dosage of 4 mg. Educationally, understanding medication dosage calculations is crucial for healthcare professionals to ensure safe and accurate administration of medications to patients. By mastering these calculations, healthcare professionals can prevent medication errors and ensure optimal patient outcomes. It is essential to be proficient in converting between different units of measurement and understanding drug concentrations to provide effective patient care.
Question 5 of 5
A client in a coronary care unit is being admitted after CPR post cardiac arrest. The client is receiving IV lidocaine at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Prevents dysrhythmias. Lidocaine is a class IB antiarrhythmic medication commonly used to treat ventricular dysrhythmias, especially in the setting of acute cardiac events like post-cardiac arrest. Rationale for why A is correct: Lidocaine works by stabilizing the cardiac cell membranes, which helps to prevent abnormal electrical activity that can lead to dysrhythmias. By administering lidocaine, the nurse is helping to maintain the client's cardiac rhythm and prevent potentially life-threatening arrhythmias. Rationale for why B, C, and D are incorrect: B) Slows intestinal motility: Lidocaine does not have a direct effect on intestinal motility. This is not a known action of this medication. C) Dissolves blood clots: Lidocaine is not used to dissolve blood clots. Its primary action is related to its antiarrhythmic properties. D) Relieves pain: While lidocaine is commonly used as a local anesthetic to relieve pain, in this case, the client is receiving it for its antiarrhythmic effects, not for pain relief. Educational context: Understanding the actions of medications like lidocaine is crucial for nurses working in critical care settings such as coronary care units. By knowing the pharmacological properties of medications, nurses can provide safe and effective care to clients with complex medical conditions, like those who have experienced cardiac arrest. This knowledge helps nurses explain the rationale behind medication administration to clients, promoting patient education and involvement in their care.