ATI RN
ATI Pharmacology Proctored Exam 2019 Questions
Question 1 of 5
During an assessment, a male client who has recently started taking Haloperidol is displaying certain symptoms. Which of the following findings should the nurse prioritize in reporting to the provider?
Correct Answer: B
Rationale: Neck spasms are indicative of acute dystonia, a serious side effect of Haloperidol that requires urgent intervention. Immediate reporting to the provider is crucial to address this potentially harmful condition and ensure the client's safety. Shuffling gait, drowsiness, and impotence are important to monitor but do not pose the same level of immediate risk as acute dystonia.
Question 2 of 5
A client in an acute mental health facility is experiencing withdrawal from Opioid use and has a new prescription for Clonidine. Which of the following actions should the nurse identify as the priority?
Correct Answer: D
Rationale: In this scenario, the priority action for the nurse is to obtain baseline vital signs. This step is crucial in assessing the client's current physiological status and establishing a reference point for monitoring the effects of Clonidine. Administering the medication, providing ice chips, and educating the client are important tasks but assessing the client's vital signs takes precedence to ensure the client's safety and well-being during withdrawal management.
Question 3 of 5
A client has a new prescription for Digoxin for heart failure. Which of the following adverse effects should the client be instructed to monitor for and report to the provider?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Yellow-tinged vision. Digoxin is a medication commonly prescribed for heart failure, but it has a narrow therapeutic range and can lead to toxicity if not closely monitored. Yellow-tinged vision is a classic sign of digoxin toxicity and should be reported immediately to the healthcare provider. A) Dry cough is not typically associated with digoxin use; it is more commonly seen with ACE inhibitors or ARBs used to treat heart failure. B) Pedal edema is a common symptom of heart failure itself, and while monitoring for changes in edema is important, it is not a specific adverse effect of digoxin. C) Bruising is not a common adverse effect of digoxin. It can be a side effect of medications that affect platelet function or coagulation, but it is not typically associated with digoxin use. Educationally, this question highlights the importance of recognizing the unique adverse effects of specific medications like digoxin. It emphasizes the need for close monitoring and patient education to prevent potential harm from medication side effects. Nurses and healthcare providers must be vigilant in educating patients on the signs and symptoms of medication toxicity to ensure safe and effective treatment.
Question 4 of 5
While teaching a client with a new prescription for Warfarin, which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because Warfarin interacts with vitamin K, found in green leafy vegetables, not potassium. The client should avoid consuming large amounts of foods high in vitamin K to maintain the effectiveness of Warfarin therapy. Increasing potassium intake is not a concern related to Warfarin therapy, so this statement indicates a need for further teaching.
Question 5 of 5
A client is prescribed Spironolactone. Which of the following laboratory findings should the nurse monitor and report to the provider?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, meaning it can cause potassium retention, leading to elevated potassium levels. A potassium level of 5.2 mEq/L is above the normal range (3.5-5.0 mEq/L) and indicates hyperkalemia, which can be a serious condition. Therefore, this finding should be promptly reported to the healthcare provider for further evaluation and management to prevent potential complications.