ATI RN
ATI Proctored Pharmacology 2024 Questions
Question 1 of 5
The nurse administers lorazepam (Ativan) to a client with anxiety. Which statement by the client indicates understanding of the medication?
Correct Answer: B
Rationale: Lorazepam, a benzodiazepine, reduces anxiety via GABA enhancement but potentiates CNS depression with alcohol, risking sedation or respiratory failure. Avoiding alcohol shows understanding of this danger, key for safety. Driving is unsafe due to drowsiness. It doesn't cure anxiety 'it's symptomatic relief. Extra doses risk dependence. Avoiding alcohol aligns with lorazepam's pharmacology, critical in anxiety management where misuse is common, making B the statement reflecting proper education.
Question 2 of 5
A patient asks the nurse to tell her more about a new drug the patient has been prescribed called
Correct Answer: C
Rationale: The most accurate response by the nurse is "This drug is the first medication your health care provider will use to treat your angina." This response provides important information to the patient that Ranexa is specifically used to treat angina. It also indicates that Ranexa is often the initial medication chosen for treating this condition, providing reassurance to the patient about the appropriateness of the prescribed drug.
Question 3 of 5
The nurse is reviewing discharge teaching for a patient who will be taking digoxin (Lanoxin) therapy. The nurse will teach the patient to avoid which foods when taking the digoxin?
Correct Answer: C
Rationale: Grapefruit juice can interfere with the effectiveness of digoxin by inhibiting the enzyme responsible for metabolizing the drug in the body. This interaction can lead to increased levels of digoxin in the bloodstream, potentially causing harmful effects such as toxicity. It is important for patients taking digoxin to avoid consuming grapefruit juice to ensure the medication works as intended.
Question 4 of 5
Which statement about ARBs does the nurse identify as being true?
Correct Answer: A
Rationale: One of the key differences between Angiotensin II Receptor Blockers (ARBs) and Angiotensin-Converting Enzyme (ACE) inhibitors is their impact on potassium levels. While both medications can cause hyperkalemia (high potassium levels), it is generally considered more likely to occur with ARBs compared to ACE inhibitors. This is because ACE inhibitors inhibit the breakdown of bradykinin, which in turn can enhance potassium retention, increasing the risk of hyperkalemia. Therefore, the nurse would correctly identify this statement about ARBs as being true.
Question 5 of 5
A patient is taking digoxin (Lanoxin) and a loop diuretic daily. When the nurse enters the room with the morning medications, the patient states, I am seeing a funny yellow color around the lights. What is the nurse™s next action?
Correct Answer: A
Rationale: The patient's statement about seeing a funny yellow color around the lights is indicative of potential digoxin toxicity, as digoxin can cause visual disturbances, such as changes in color vision. The nurse should assess the patient for other symptoms of digoxin toxicity, which may include nausea, vomiting, confusion, and changes in heart rate. It is important to evaluate the patient's condition further to determine the appropriate course of action, including the need for further evaluation and potentially withholding the next dose of digoxin.