ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is to apply a warm, moist compress (
Choice
D). This helps improve circulation and reduce edema by promoting vasodilation and enhancing tissue perfusion. Cooling and edematous IV sites indicate impaired circulation, which can lead to complications like phlebitis. Slowing the IV rate (
Choice
A) may not address the underlying issue. Initiating a new IV distal to the initial site (
Choice
B) may not improve circulation in the affected area. Maintaining the extremity below heart level (
Choice
C) can worsen edema.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Notify your provider if you develop a fever while taking this medication. This is important because clozapine can cause a serious condition called agranulocytosis, which can lead to a fever. The nurse should emphasize the significance of monitoring for fever and promptly notifying the healthcare provider.
Choice A is incorrect because diarrhea is not a common adverse effect of clozapine.
Choice B is incorrect as ringing in the ears is not an expected adverse effect.
Choice D is incorrect because weight gain, not weight loss, is a common side effect of clozapine.
Question 3 of 5
A nurse is teaching a client about oral contraceptive. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Some herbal supplements can decrease the effectiveness of an oral contraceptive. The nurse should include this information in the teaching to ensure the client understands potential interactions. Herbal supplements like St. John's Wort can reduce the effectiveness of oral contraceptives by increasing their metabolism. This can lead to contraceptive failure and unintended pregnancy. Option A is incorrect because abdominal pain is not an expected adverse effect of oral contraceptives. Option B is incorrect as fertility typically returns quickly after stopping oral contraceptives, not taking up to a year. Option D is incorrect as a pelvic examination is not always necessary before starting oral contraceptives.
Question 4 of 5
A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Mix the medications with a semisolid food for the client. This is the safest option for a client with dysphagia as it reduces the risk of choking or aspiration. Mixing medications with food can help make swallowing easier and safer for the client. Tilt the client's head back (
A) can increase the risk of choking. Administering more than one pill at a time (
C) can lead to swallowing difficulties. Placing medications on the back of the tongue (
D) can trigger a gag reflex in clients with dysphagia.
Question 5 of 5
A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because omeprazole is a proton pump inhibitor that works best when taken before meals to inhibit gastric acid secretion. This timing ensures optimal effectiveness of the medication.
Choices A, B, and D are incorrect.
Choice A is inaccurate because omeprazole can be taken with antacids, but it is recommended to be taken separately.
Choice B is incorrect as there is no specific need to reduce calcium intake while taking omeprazole.
Choice D is incorrect as taking a second dose without medical advice may lead to overdosing and adverse effects.