ATI RN
Pharmacology ATI Final Questions
Question 1 of 5
The nurse is monitoring a post-renal transplantation client taking cyclosporine (Neoral). The nurse observes an elevation in one of the client's vital signs and the client is complaining of sweating and
Correct Answer: C
Rationale: Cyclosporine, a common immunosuppressive medication used in post-renal transplantation clients, can cause a range of adverse effects, including hypertension, nephrotoxicity, and electrolyte imbalances. One of the significant side effects of cyclosporine is causing an elevation in the pulse rate, also known as tachycardia. Tachycardia is a common side effect of cyclosporine due to its direct effects on the cardiovascular system. Therefore, in the context of a post-renal transplantation client taking cyclosporine, an elevation in pulse rate is the most likely vital sign to be increased. Sweatiness may be a response to the increased heart rate and may also be a side effect of cyclosporine. However, the primary vital sign affected by cyclosporine would be the pulse rate.
Question 2 of 5
Which is not one of the rights of medication administration?
Correct Answer: C
Rationale: The rights of medication administration include the right patient, right medication, right dose, right route, right time, and right documentation. However, "right attitude" is not one of the recognized rights of medication administration. While having a positive and professional attitude is important for healthcare providers, it is not specifically listed as a distinct right in medication administration protocols.
Question 3 of 5
A pregnant woman is experiencing hypertension. The nurse knows that which drug is commonly used for a pregnant patient who is experiencing hypertension?
Correct Answer: D
Rationale: Methyldopa is the preferred antihypertensive medication for pregnant women experiencing hypertension. It has been extensively studied and considered safe for both the mother and the fetus. Methyldopa has been shown to effectively lower blood pressure in pregnant women without causing harm to the developing fetus. Other antihypertensive medications, such as Enalapril (Vasote) and Hydrochlorothiazide (HydroDIURIL), are contraindicated during pregnancy as they can cause harm to the fetus. Mannitol (Osmitrol) is an osmotic diuretic primarily used for reducing intracranial pressure or treating cerebral edema, not for hypertension in pregnancy. Therefore, Methyldopa is the right choice for a pregnant patient with hypertension.
Question 4 of 5
The nurse administers furosemide (Lasix) to a client with edema. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Furosemide, a loop diuretic, treats edema by increasing urine output but depletes potassium via renal excretion, risking hypokalemia. This can cause muscle weakness or arrhythmias, critical in edema patients often with cardiac issues. Monitoring potassium closely ensures timely correction, preventing life-threatening complications. Sodium may decrease but is less urgent unless extreme. Calcium loss occurs but is rarer and less impactful acutely. Glucose isn't directly affected by furosemide. Potassium's rapid depletion aligns with the drug's mechanism'blocking the Na-K-2Cl cotransporter'making it the priority lab value. Regular checks (e.g., serum levels) guide supplementation, ensuring safety during diuresis, thus B is the nurse's focus for effective monitoring and intervention.
Question 5 of 5
Ace Inhibitors often end in?
Correct Answer: C
Rationale: The majority of ACE inhibitors end in the suffix "-pril". ACE inhibitors are a class of medications commonly used to treat conditions such as hypertension, heart failure, and reducing the risk of heart attacks. The suffix "-pril" is a common way to identify drugs belonging to this class, making it easier for healthcare professionals and patients to recognize them. Examples of ACE inhibitors that end in "-pril" include captopril, enalapril, lisinopril, and ramipril.