ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Document this as an expected finding. Rifampin, an antibiotic used to treat tuberculosis, can cause a harmless side effect of red-orange discoloration of bodily fluids like urine and sweat. Checking liver function tests (choice
A) is unnecessary as this side effect is not related to liver function. Instructing the client to increase fluid intake (choice
B) may not resolve the discoloration and is not the priority. Preparing the client for dialysis (choice
D) is unnecessary and extreme for this expected side effect.
Therefore, the most appropriate action is to document this as an expected finding, as it does not indicate any serious issue.
Extract:
Vital signs: Day 1: Temperature 36.2°C (97.2°F), Respiratory rate 18/min, Heart rate 74/min, Blood pressure 118/68 mm Hg, SpO2 96% on room air. Day 7: Temperature 36.9°C (98.4°F), Heart rate 86/min, Respiratory rate 18/min, Blood pressure 98/66 mm Hg, SpO2 97% on room air.
Question 2 of 5
A nurse is caring for a client in a provider's office. Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
Correct Answer: A, B, E, F
Rationale: The correct answer includes statements A, B, E, and F. Statement A is correct because taking the medication with a meal can help prevent nausea. Statement B is correct as vivid nightmares can be a side effect of the medication. Statement E is correct because an increase in involuntary movements can occur initially. Statement F is correct as the medication can cause lightheadedness upon standing quickly.
Choice C is incorrect because the color change in urine is not typically associated with the medication.
Choice D is incorrect as high protein meals typically do not affect the effectiveness of this medication.
Extract:
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will need to have blood levels drawn." This statement indicates an understanding of the teaching because theophylline levels need to be monitored to ensure the medication is at a therapeutic level and not reaching toxic levels. Regular blood tests are necessary to adjust the dosage as needed.
Choice A is incorrect because theophylline should not be taken with coffee as caffeine can interact with the medication.
Choice B is incorrect as the sustained-release capsule should not be opened or sprinkled in food as it can alter the drug absorption rate.
Choice C is incorrect because fluid intake should actually be increased while on theophylline to prevent dehydration and help with drug elimination.
Question 4 of 5
A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer?
Correct Answer: D
Rationale: The correct answer is D: Fentanyl transmucosal. Fentanyl is a potent opioid analgesic that can be used for breakthrough pain in cancer patients already on around-the-clock opioid therapy like morphine. Fentanyl transmucosal provides rapid pain relief, making it suitable for managing sudden onset pain. Naloxone (
A) is an opioid antagonist used to reverse opioid overdose, not for routine pain management. Morphine tablet (
B) is not ideal for immediate pain relief due to slower onset. Lidocaine patch (
C) is used for localized pain, not systemic pain relief like in this case.
Therefore, fentanyl transmucosal is the most appropriate choice for managing the client's pain effectively.
Question 5 of 5
A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10,000 units/mL. How many mL of heparin should the nurse administer? (Round to the nearest tenth.)
Correct Answer: 0.4
Rationale:
Correct Answer: 0.4 mL
Rationale:
To calculate the mL of heparin needed, use the formula: Desired dose/Available dose = Volume to be administered. In this case, 4,000 units / 10,000 units/mL = 0.4 mL. The nurse should administer 0.4 mL of heparin subcutaneously.
Summary of Other
Choices:
A: Incorrect. This does not follow the correct calculation method.
B: Incorrect. This does not follow the correct calculation method.
C: Incorrect. This does not follow the correct calculation method.
D: Incorrect. This does not follow the correct calculation method.
E: Incorrect. This does not follow the correct calculation method.
F: Incorrect. This does not follow the correct calculation method.
G: Incorrect. This does not follow the correct calculation method.