ATI RN
ATI Proctored Pharmacology 2023 Quizlet Questions
Question 1 of 5
A patient was prescribed sertraline (Zoloft) for the treatment of depression and anxiety. The patient's spouse calls the clinic and reports the patient is increasingly moody and seems 'disconnected with life.' What is the best response by the nurse?
Correct Answer: B
Rationale: Worsening mood and disconnection on sertraline signal risk-e.g., suicidal ideation, per SSRI warnings-needing urgent clinic assessment. Benadryl is inappropriate-sedation won't fix. Holding meds risks withdrawal. Doubling dose escalates danger. Immediate evaluation ensures safety, per protocol.
Question 2 of 5
The client is about to start the treatment for juvenile rheumatoid arthritis. Before the administration of etanercept (Enbrel), it is important for the nurse to:
Correct Answer: A
Rationale: Etanercept is administered via injection, and some formulations may contain latex in the packaging or delivery system. Assessing for a latex allergy is crucial to prevent allergic reactions. While vaccinations and travel plans are important considerations, they are not as critical as ensuring the client's safety regarding potential allergens. Avoiding people who recently received etanercept is not a standard precaution.
Question 3 of 5
The labor and delivery nurse assists with the delivery of a newborn to a woman taking an adrenergic blocker for a congenital heart defect. What organ systems may be affected in the newborn by these drugs? (Select all that apply.)
Correct Answer: B
Rationale: Adrenergic blockers can affect labor, and babies born to mothers taking these drugs may exhibit adverse cardiovascular, respiratory, and CNS effects. Problems with the GI and GU systems have not been reported. The nurse should monitor the newborn for potential adverse effects and intervene as needed to ensure safety.
Question 4 of 5
A client with gout is prescribed allopurinol (Zyloprim). Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Allopurinol reduces uric acid production, treating gout by inhibiting xanthine oxidase. Monitoring serum uric acid tracks efficacy, ensuring levels drop (normal: 3.5-7.2 mg/dL) to prevent flares. BUN reflects kidney function, relevant but secondary unless damage exists. White blood cells and platelets aren't directly affected unless hypersensitivity occurs (rare). Uric acid is the therapeutic target, aligning with allopurinol's mechanism, critical in gout where hyperuricemia drives symptoms. Regular checks confirm treatment success, guiding dose adjustments, making A the key value to monitor.
Question 5 of 5
A child is receiving methylphenidate. The mother tells the nurse the patient is having trouble sleeping while on the medication. What is the best response by the nurse?
Correct Answer: A
Rationale: Methylphenidate, a stimulant used to treat ADHD, can cause insomnia if taken too late in the day. Administering the medication earlier in the day (before 4:00 pm) can help minimize sleep disturbances. Giving it at 8:00 pm (B) would worsen insomnia. Stopping the medication abruptly (C) is not recommended without consulting the healthcare provider. Diphenhydramine (D) is not a solution for stimulant-induced insomnia.