ATI RN
ATI RN Pharmacology 2019 I Questions
Extract:
Question 1 of 5
A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicates a therapeutic response to the medication?
Correct Answer: B
Rationale: The correct answer is B: "I have noticed I'm not as cold as I used to be." This statement indicates a therapeutic response to levothyroxine in hypothyroidism. Levothyroxine helps to restore thyroid hormone levels, which can improve metabolism and body temperature regulation, reducing feelings of coldness.
Choice A is incorrect as laxatives are not directly related to thyroid function.
Choice C is incorrect as unexplained weight loss is not typically a therapeutic response to levothyroxine.
Choice D is incorrect as increased sleepiness is not a typical response to thyroid hormone replacement therapy.
Question 2 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: A
Rationale: The correct answer is A: Heart rate. Propranolol is a beta-blocker that primarily affects the heart by slowing down the heart rate. Assessing the client's heart rate prior to administering propranolol is crucial to ensure that the medication is safe to administer and to monitor for any potential adverse effects such as bradycardia.
Choice B: Respiratory rate is not directly related to propranolol administration, as propranolol primarily affects the cardiovascular system.
Choice C: Temperature is not a priority assessment before administering propranolol, as it does not impact the safety or effectiveness of the medication.
Choice D: Pain level is also not directly relevant to administering propranolol, as it is primarily used for heart conditions and not for pain management.
In summary, assessing the heart rate is essential before administering propranolol to monitor for potential adverse effects related to its action on the cardiovascular system.
Question 3 of 5
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should not take an antacid within 1 hour of taking this medication." This statement indicates understanding because ranitidine is an H2 receptor antagonist that works by reducing stomach acid production. Antacids can interfere with its absorption, so taking them together can decrease its effectiveness.
Choice A is incorrect because aspirin can aggravate gastric ulcers.
Choice C is incorrect as fine hand tremors are not a common side effect of ranitidine.
Choice D is incorrect because there is no need to avoid dairy products with ranitidine.
Question 4 of 5
A nurse is caring for a client who reports taking propranolol for several years but has recently stopped for financial reasons. The nurse should assess the client for which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Tachycardia. Propranolol is a beta-blocker that slows down the heart rate. When the client stops taking it abruptly, there is a rebound effect leading to increased heart rate or tachycardia. Bradypnea (
A) is slow breathing, not typically associated with propranolol withdrawal. Hyperkalemia (
B) is high potassium levels, not directly related to propranolol use. Rhinitis (
D) is inflammation of the nasal passages, unrelated to propranolol.
Question 5 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's weight daily. This is crucial because weight changes can indicate the effectiveness of TPN therapy, fluid balance, and nutritional status. Weight monitoring helps detect any complications early. Hanging the TPN solution to gravity (choice
B) is incorrect as TPN should be administered using an infusion pump to control the rate accurately. Titration of TPN to blood pressure (choice
C) is inappropriate as TPN is not adjusted based on blood pressure. Obtaining the client's blood glucose level weekly (choice
D) is not frequent enough, as blood glucose levels should be monitored more frequently in TPN recipients.