ATI RN
ATI n200 Pharmacology Exam Questions
Extract:
Question 1 of 5
A female client with iron-deficiency anemia is experiencing increased fatigue and a shiny red tongue. The nurse would anticipate seeing which additional assessment finding(s) (SELECT ALL THAT APPLY)
Correct Answer: A,D,E
Rationale: The correct answers are A, D, and E. A shiny red tongue is a sign of glossitis, common in iron deficiency anemia. Spoon-shaped nails (koilonychia) indicate severe anemia. Low hemoglobin levels (8.0 g/dL) are consistent with iron-deficiency anemia. Tachypnea can occur due to anemia-induced tissue hypoxia. Platelets and red blood cell count are not directly affected by iron-deficiency anemia.
Question 2 of 5
When developing a plan of care for the client diagnosed with iron-deficiency anemia, the nurse would encourage intake of which foods?
Correct Answer: B
Rationale: The correct answer is B: Seafood. Seafood, such as fish and shellfish, is high in heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based sources like beets, eggs, and bran. Seafood is an excellent source of iron for individuals with iron-deficiency anemia. Beets (choice
A), eggs (choice
C), and bran (choice
D) contain non-heme iron, which is not as readily absorbed by the body.
Therefore, while these foods do contain iron, they are not the best choices for improving iron levels in individuals with iron-deficiency anemia.
Question 3 of 5
A client has recently started ferrous sulfate 500 mg by mouth two times per day for anemia. Which of the following data would indicate to the nurse that the therapy is successful?
Correct Answer: C
Rationale: The correct answer is C:
Total reticulocyte count 2.2 9% of total RBC count. Reticulocytes are immature red blood cells, and an increase in reticulocyte count indicates the bone marrow's response to anemia treatment, showing that the body is producing more red blood cells. This would suggest that the ferrous sulfate therapy is successful in increasing red blood cell production.
Choice A: Neutrophils 57% is unrelated to anemia treatment.
Choice B: International Normalized Ratio (INR) measures blood clotting and is not indicative of anemia treatment.
Choice D: Platelet count 250,000 uL is unrelated to anemia treatment.
In summary, the correct answer, C, is the best indicator of the success of anemia treatment as it directly reflects the response of the bone marrow to therapy, while the other choices are not relevant indicators of anemia treatment success.
Question 4 of 5
The nurse administers losartan 50 mg PO to a client. One hour after administration, the client calls the nurse and complains of tingling of the lips. Noting that the client's lips are edematous, the nurse recognizes that the client is experiencing which issue?
Correct Answer: C
Rationale: The correct answer is C: The client is experiencing angioedema and notifies the healthcare provider. Angioedema is a serious side effect of angiotensin receptor blockers like losartan. This presents with swelling of the lips, tongue, or throat, which can lead to airway compromise. Prompt notification of the healthcare provider is crucial for immediate intervention.
Choices A, B, and D are incorrect as they do not address the severity of angioedema.
Choice A is not appropriate as fluid restriction is not the priority.
Choice B is incorrect as angioedema is not an expected side effect.
Choice D is incorrect as reducing the dose will not address the angioedema.
Question 5 of 5
The client with coronary artery disease asks the nurse. 'Why do I get this chest pain?' Which would be the most appropriate response?
Correct Answer: D
Rationale: The correct answer is D because chest pain in coronary artery disease is typically due to decreased oxygen supply to the heart muscle, known as myocardial ischemia. When the coronary arteries become narrowed or blocked, less oxygen-rich blood reaches the heart muscle, causing pain.
Choice A is incorrect as heart layers are not weak and thin in coronary artery disease.
Choice B is incorrect as heart valve damage does not typically cause chest pain.
Choice C is incorrect as the heart muscle weakness is not the primary cause of chest pain in coronary artery disease.