ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. Phenytoin can cause hypotension as an adverse effect due to its vasodilatory properties. The drug can cause a decrease in blood pressure, leading to symptoms such as dizziness and lightheadedness. This adverse effect is important for the nurse to recognize as it can potentially lead to complications such as falls in the client.
A: Hypoglycemia is not a common adverse effect of phenytoin.
B: Bradycardia is not a typical adverse effect of phenytoin.
C: Red man syndrome is associated with vancomycin, not phenytoin.
Summary: Phenytoin is more likely to cause hypotension as an adverse effect, rather than hypoglycemia, bradycardia, or red man syndrome.
Question 2 of 5
A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?
Correct Answer: A
Rationale: The correct answer is A: Osteoporosis. Raloxifene is a medication used to prevent and treat osteoporosis by increasing bone density. It is a selective estrogen receptor modulator that mimics estrogen's effects on bone without affecting other tissues like the uterus. This helps to reduce the risk of fractures in postmenopausal women.
Choices B, C, D, E, F, and G are incorrect because raloxifene is not indicated for hypothyroidism, urinary tract infections, or any other conditions besides osteoporosis.
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 3 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:
Correct
Answer: A, B, E, F
Rationale:
A: Taking the medication with a meal can help reduce nausea, enhancing tolerance.
B: Mentioning vivid nightmares prepares the client for a potential side effect.
E: Increase in involuntary movements is a common side effect of certain medications.
F: Informing about potential dizziness upon standing up quickly promotes safety.
These statements address medication effects and side effects, promoting client understanding and safety.
Incorrect
Choices:
C: Urine color change may not be relevant to the medication being discussed.
D: High protein meal interaction is not mentioned for this medication.
Incorrect choices lack relevance or do not address potential medication effects, making them not suitable for client education.
Extract:
Client awake, alert, and oriented to person, place, and time.
Lung sounds clear and equal bilaterally. Heart rhythm regular,
no peripheral edema, capillary refill less than 3 seconds in all
extremities. Abdomen soft and nondistended.
Client has past medical history of acute myocardial infarction 4
weeks ago. Client is taking warfarin 8 mg PO once daily.
Question 4 of 5
Complete the following sentence by using the lists of options. Upon analyzing the assessment findings, the nurse identifies that the client is at risk for Select... due to the Select...
Correct Answer: A
Rationale: The correct answer is A: concurrent medication use. The nurse identifies the client is at risk for adverse drug interactions or side effects due to the potential interactions between medications. Recent illness (
B) may impact the client's health but does not specifically relate to medication use. Activity level (
C) is important but does not directly indicate medication risk. Without options D, E, F, and G, they cannot be considered as potential correct choices.
Extract:
Question 5 of 5
Which of the following statements should the nurse include when teaching the client about the prescribed medication?
Correct Answer: A
Rationale: The correct answer is A because taking the medication with a meal can help reduce nausea. This statement is important to ensure client compliance and improve medication tolerance.
Choice B is incorrect as vivid nightmares are not a common side effect of the medication.
Choice C is incorrect as urine color change is not relevant to this medication.
Choice D is incorrect as high protein meals do not affect medication effectiveness.
Choice E is incorrect as an increase in involuntary movements is not expected with this medication.