ATI RN
ATI Proctored Pharmacology 2023 Quizlet Questions
Question 1 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 2 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.
Question 3 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 4 of 5
The nurse manages care for several clients receiving hormone replacement therapy (HRT). What will the priority assessment by the nurse include as related to side effects?
Correct Answer: A
Rationale: HRT, often involving estrogen, increases thrombophlebitis risk due to enhanced clotting factors. Calf pain signals possible deep vein thrombosis (DVT), a life-threatening side effect requiring immediate assessment, as it could lead to pulmonary embolism. Decreased libido , low-back pain , and fatigue may occur with HRT but are less urgent and not specific to its most dangerous complications. The nurse prioritizes calf pain due to its association with thromboembolism, a well-documented HRT risk, especially in smokers or those with vascular issues, making choice A the critical focus for safety.
Question 5 of 5
Which of the following is the antidote for Heparin?
Correct Answer: A
Rationale: Protamine sulfate is the antidote for Heparin. Heparin is an anticoagulant medication that works by inhibiting the clotting factors in the blood. In cases of Heparin overdose or when there is a need to reverse its anticoagulant effects quickly, protamine sulfate can be administered. Protamine sulfate binds to Heparin and neutralizes its anticoagulant effects, making it an effective antidote. It is important to administer the antidote under the guidance of a healthcare professional to prevent any adverse reactions.