ATI RN
ATI Pharmacology Final Exam I Questions
Extract:
Question 1 of 5
A client diagnosed with trichomoniasis is prescribed metronidazole (Flagyl). The nurse should instruct the client to avoid which contraindication associated with this medication?
Correct Answer: C
Rationale: Alcohol is a significant contraindication with metronidazole due to the potential for a disulfiram-like reaction. This reaction can cause severe nausea, vomiting, flushing, tachycardia, and shortness of breath.
Question 2 of 5
A nurse is admitting a client who is dehydrated. Which BUN level should the nurse expect the client to have upon admission? (Normal BUN 10-20)
Correct Answer: D
Rationale: A BUN level of 31 mg/dL is elevated and consistent with the expected findings in a dehydrated client. Dehydration can lead to increased BUN levels due to decreased renal blood flow and glomerular filtration rate.
Question 3 of 5
The nurse is caring for a client who has begun to take sertraline (Zoloft) for newly diagnosed depression. Which of the following conditions is associated with an overdose of this medication class?
Correct Answer: C
Rationale: Serotonin syndrome is a serious and potentially life-threatening condition that can occur with an overdose of sertraline, which is an SSRI. Serotonin syndrome results from an excess of serotonin in the brain and manifests with symptoms such as agitation, confusion, rapid heart rate, dilated pupils, loss of muscle coordination or twitching muscles, heavy sweating, diarrhea, headache, shivering, and goosebumps.
Question 4 of 5
A nurse caring for a client is receiving hydromorphone HCL via PCA pump and reports continuous pain of 6 on a scale from 0 to 10. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Checking the display on the pump is the most critical initial action. This step ensures the PCA pump is functioning correctly and delivering the correct dosage as prescribed.
Question 5 of 5
A client recently diagnosed with glaucoma is placed on a prostaglandin analogue. Which of the following medications would fall under the medication category prostaglandin analogue?
Correct Answer: B
Rationale: Bimatoprost is a prostaglandin analogue used to reduce intraocular pressure in patients with glaucoma or ocular hypertension.