ATI RN
ATI Pharmacology Proctored Exam 2023 Questions
Question 1 of 5
A healthcare provider is preparing to administer a transfusion of a unit of packed red blood cells (PRBCs) for a client who has severe anemia. Which of the following interventions will prevent an acute hemolytic reaction?
Correct Answer: B
Rationale: The correct answer is to obtain help from another healthcare provider to confirm the correct client and blood product. This action is crucial in preventing an acute hemolytic reaction, which is caused by ABO or Rh incompatibility. Verifying the correct client and blood product before the transfusion ensures that there are no errors in identification, reducing the risk of a potentially life-threatening reaction.
Question 2 of 5
A client has a new prescription for Prednisone. Which of the following laboratory values should the nurse monitor?
Correct Answer: D
Rationale: Prednisone is a corticosteroid that can cause hyperglycemia. The nurse should monitor the client's serum glucose levels closely to assess for elevated blood sugar levels.
Question 3 of 5
A client is to receive Pamidronate for bone pain related to cancer. What precaution should the nurse take during the administration of Pamidronate?
Correct Answer: B
Rationale: Pamidronate is given through IV infusion and can be irritating to veins. Therefore, the nurse should frequently assess the IV site for thrombophlebitis during the administration to promptly detect any potential complications related to the infusion.
Question 4 of 5
A client with end-stage cancer receiving Morphine is prescribed Methylnaltrexone. The client's daughter asks why the provider prescribed Methylnaltrexone. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Methylnaltrexone is an opioid antagonist used to treat severe constipation unrelieved by laxatives in opioid-dependent clients. It blocks the mu opioid receptors in the GI tract, helping to alleviate constipation without affecting pain relief or causing withdrawal symptoms.
Question 5 of 5
A client with Atrial Fibrillation is prescribed Dabigatran to prevent Thrombosis. Which medication is prescribed concurrently to treat an adverse effect of Dabigatran?
Correct Answer: C
Rationale: Omeprazole, a proton pump inhibitor, is prescribed for clients taking dabigatran who experience abdominal pain and other gastrointestinal adverse effects associated with dabigatran use. Proton pump inhibitors help manage these symptoms effectively.
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