ATI RN
ATI Proctored Pharmacology 2023 Quizlet 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: The correct action is to check the radial pulse for 1 full minute. When administering digoxin, it is important to assess the apical pulse before giving the medication. A heart rate of 53 beats/min is below the normal range, especially for a patient taking digoxin, which can slow heart rate further. The nurse should check the radial pulse for a full minute to verify the heart rate accurately and assess for any abnormalities. This step is crucial to ensure patient safety and prevent potential complications associated with bradycardia. In this situation, it is necessary to withhold the dose and notify the prescriber to determine the appropriate course of action based on the assessment findings.
Question 2 of 5
A 25-year-old woman suffers a bee sting and within a few minutes she notices a blotchy rash appearing on her body. She is taken to A&E where her BP is 90/60 mmHg. The most appropriate immediate therapy would be:
Correct Answer: D
Rationale: Anaphylaxis (rash, hypotension) post-bee sting needs urgent reversal. Oral antihistamine is too slow for systemic shock. IV adrenaline (1:10000) suits cardiac arrest, not initial anaphylaxis. IV hydrocortisone acts slowly, supporting later. IM adrenaline (0.5 mL 1:1000, 0.5 mg) rapidly reverses bronchospasm and hypotension via alpha/beta agonism, the immediate therapy per guidelines. Salbutamol targets asthma, not shock. IM adrenaline's speed saves lives in anaphylaxis.
Question 3 of 5
The nurse will administer medication to a school-age child. What is the preferred action by the nurse?
Correct Answer: A
Rationale: School-age kids (6-12) can understand drug purpose and side effects-e.g., 'This fights infection, you might feel sleepy'-fostering cooperation via cognitive growth. Threats like no recess breed resentment, not trust. Beverage choice helps but lacks education. Play delays, not enhances, administration. Teaching leverages development, improving adherence.
Question 4 of 5
What is one of the therapeutic uses of Valporate?
Correct Answer: A
Rationale: Valproate, commonly known as sodium valproate or valproic acid, is a medication primarily used to treat seizures, including epilepsy. It is an antiepileptic drug that works by increasing the levels of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain, which helps to calm excessive electrical activity that can lead to seizures. Valproate is considered a first-line treatment for various types of seizures, especially absence seizures and generalized tonic-clonic seizures. It is not used for replacing hormones, maintaining blood glucose levels, or lowering blood pressure.
Question 5 of 5
The nurse is preparing to give a potassium supplement. Which laboratory test should be checked before the patient receives a dose of potassium?
Correct Answer: B
Rationale: Before administering potassium supplements to a patient, it is essential to check the patient's serum potassium level. This allows the healthcare provider to assess the current potassium level in the body and determine if supplementation is necessary. Monitoring serum potassium levels is crucial because both low potassium (hypokalemia) and high potassium (hyperkalemia) levels can have serious health implications. Administering potassium supplements without checking the serum potassium level could lead to adverse effects or complications, so it is important to confirm the need for supplementation based on this laboratory test.