ATI RN
ATI RN Pharmacology 2023 Proctored Exam Questions
Question 1 of 5
Furosemide (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?
Correct Answer: D
Rationale: Furosemide (Lasix) is a loop diuretic that helps the body to remove excess salt and water, which can be useful in conditions like congestive heart failure, liver disease, or kidney disorders. The correct statement by the nurse is to "Be sure to change positions slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes." This instruction is important because diuretics like furosemide can cause changes in blood pressure, leading to dizziness and fainting when standing up quickly. By changing positions slowly, the patient can minimize the risk of experiencing these symptoms.
Question 2 of 5
Prior to administering medications, the student nurse reviews the therapeutic index. Which statement best describes the student's understanding of therapeutic index?
Correct Answer: B
Rationale: Therapeutic index (TI), the ratio of toxic to effective dose, gauges safety-wide TI means safer dosing, helping the student assess if doses are within safe limits. Best drug choice is clinical, not TI-based. Interactions aren't TI-specific. Monitoring needs tie to narrow TI drugs (e.g., lithium), but safety is broader. TI ensures safe dosing, a key review point.
Question 3 of 5
The nurse is caring for a client receiving gentamicin (Garamycin). Which instruction should the nurse include?
Correct Answer: A
Rationale: Gentamicin risks ototoxicity, causing tinnitus (ringing, choice A), a serious sign needing immediate reporting to prevent hearing loss. Food doesn't apply'IV delivery. Calcium is irrelevant. Stopping early risks resistance. Reporting tinnitus aligns with gentamicin's toxicity profile, critical in therapy where auditory damage is irreversible, making A the key instruction.
Question 4 of 5
Select all when taking Iron Supplements.
Correct Answer: A
Rationale: A. It is recommended to take iron supplements one hour before or two hours after a meal because food can interfere with the absorption of iron. By taking it on an empty stomach or away from meals, the body can absorb the iron more effectively.
Question 5 of 5
The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a potential nursing diagnosis for the patient taking antihypertensive medications?
Correct Answer: B
Rationale: Sexual dysfunction is a potential nursing diagnosis for a patient taking antihypertensive medications. Many antihypertensive medications, especially certain classes like beta-blockers and diuretics, may cause adverse effects such as sexual dysfunction. These medications can impact a patient's libido, sexual arousal, and ability to achieve or maintain an erection, leading to sexual problems. Therefore, sexual dysfunction is an important consideration when caring for a patient with hypertension who is prescribed antihypertensive medications. It is crucial for the nurse to assess, monitor, and address any sexual dysfunction issues that may arise in the patient's care plan to optimize their overall well-being and quality of life.