ATI RN
ATI Pharmacology Final Exam I Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is assessing a client who has been taking sertraline (Zoloft) for 2 weeks. The nurse should identify which of the following findings as an indication that the medication is effective?
Correct Answer: C
Rationale: An increase in mood is a direct indication that sertraline is effective. Sertraline is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, anxiety, and other mood disorders by increasing serotonin levels in the brain.
Question 4 of 5
A 55-year-old woman who recently reached menopause and has a family history of osteoporosis is diagnosed with osteopenia following a dual energy x-ray absorptiometry (DEXA). During your teaching, you should explain that:
Correct Answer: C
Rationale: Increasing calcium intake and engaging in weight-bearing exercises are well-established methods to slow calcium loss from bones and improve bone density.
Question 5 of 5
A nurse is providing teaching for a client who has a prescription for home oxygen. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Posting a 'No Smoking' sign in the home is crucial for safety when using oxygen. Oxygen supports combustion, and even a small spark can cause a fire or explosion.