ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?
Correct Answer: D
Rationale: The correct answer is D: Decreased wheezing. Theophylline is a medication commonly used to treat respiratory conditions like asthma by dilating the airways. A decrease in wheezing indicates improved air flow and reduced constriction of the air passages, showing the medication's effectiveness. Increased blood pressure (choice
B) is not expected as a response to theophylline.
Choice A, decreased urine output, is not a typical indicator of the medication's effectiveness. Increased level of consciousness (choice
C) is not directly related to theophylline's action on airway constriction.
Question 2 of 5
A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide is associated with this adverse effect, characterized by involuntary movements of the face, tongue, and extremities. The nurse should monitor for signs such as lip smacking, tongue protrusion, and rapid eye movements. Oral candidiasis (
A) is not directly related to metoclopramide. Black stools (
B) could indicate gastrointestinal bleeding but is not a common adverse effect of metoclopramide. Dry cough (
C) is not a typical side effect.
Therefore, the nurse should focus on monitoring for tardive dyskinesia (
D) when administering high-dose metoclopramide.
Question 3 of 5
A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wear gloves when handling the medication. This is crucial to prevent direct contact with the hazardous IV medication, reducing the risk of exposure. Protective footwear (
A) is not necessary for IV administration. An N95 mask (
B) is used for respiratory protection, which is not required for handling IV medications. Administering in a negative pressure room (
C) is more relevant for airborne precautions, not for handling IV medications.
Question 4 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. In septic shock, dopamine is used to increase blood pressure. Hypotension indicates that the current dosage is not effectively managing the client's blood pressure, necessitating an increase in the infusion rate to achieve the desired therapeutic effect. Headache (choice
A) is a common side effect of dopamine but does not directly correlate with the need for a dosage increase. Chest pain (choice
C) may indicate other issues but does not specifically warrant a change in dopamine infusion rate. Extravasation (choice
D) refers to the leakage of IV fluid into the surrounding tissue and requires immediate attention but is not directly related to adjusting the infusion rate of dopamine.
Question 5 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: D
Rationale: The correct answer is D: Pruritus. Pruritus is a common symptom of an allergic reaction, typically presenting as itching of the skin. Allergic reactions to medications like cefaclor can manifest in various ways, but pruritus is a classic sign. Hematuria (
A) is blood in urine, not typically associated with allergic reactions. Slurred speech (
B) and tremor (
C) are more indicative of neurological issues, not allergies.
Therefore, pruritus is the most relevant finding in this scenario.