ATI RN
ATI Pharmacology Online Practice 2023 A Questions
Question 1 of 5
A patient about to receive a morning dose of digoxin has an apical pulse of 53 beats/min. What will the nurse do next?
Correct Answer: D
Rationale: A low apical pulse rate of 53 beats/min indicates bradycardia, which is a side effect of digoxin. Before administering digoxin, the nurse should always check the patient's pulse rate. If the apical pulse is below the facility's specified parameters (typically below 60 beats/min), the nurse should withhold the dose and notify the prescriber immediately. Bradycardia can be an indication of digoxin toxicity, which can be potentially life-threatening, so it is crucial to follow the protocol and seek further guidance before administering the medication.
Question 2 of 5
Regarding drugs used in the treatment of status epilepsy:
Correct Answer: D
Rationale: Phenytoin controls status epilepticus via anticonvulsant action, not sedation, so that's false. It precipitates in dextrose, only saline-compatible, making that false. Diazepam's effect is short-lived, not long-lasting, so that's incorrect. Phenobarbitone commonly causes respiratory depression, a true statement, due to CNS suppression. Phenytoin's rate is 50 mg/min max. This side effect limits phenobarbitone's use, requiring ventilatory support in status management.
Question 3 of 5
Orthostatic hypotension is a common side e昀昀ect in which of these drugs (select all that apply)?
Correct Answer: A
Rationale: Orthostatic hypotension is a common side effect seen in ACE Inhibitors, Beta Blockers, and Calcium Channel Blockers.
Question 4 of 5
The nurse is managing the care of a group of patients with schizophrenia. The patients are receiving conventional antipsychotic medications. When assessing for anticholinergic side effects, which would the nurse immediately report to the physician?
Correct Answer: D
Rationale: Conventional antipsychotics (e.g., haloperidol) cause anticholinergic effects like urinary retention , a potential emergency risking bladder damage, requiring immediate reporting. Dystonia is extrapyramidal, not anticholinergic. Headache and hypertension aren't typical anticholinergic signs. D prioritizes urgent intervention, making it the correct choice.
Question 5 of 5
What is true about food and drug precautions? Select all that apply.
Correct Answer: A
Rationale: A. You must limit certain types of food or concurrent administration of certain types of drugs: Some foods can interact with certain medications, either reducing their effectiveness or causing potentially harmful side effects. Therefore, it may be necessary to limit or avoid specific foods when taking certain medications.