ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking haloperidol and is experiencing pseudoparkinsonism. Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism?
Correct Answer: B
Rationale: The correct answer is B: Shuffling gait. Pseudoparkinsonism is a side effect of antipsychotic medications like haloperidol, characterized by symptoms similar to Parkinson's disease. A shuffling gait is a common manifestation, caused by muscle stiffness and rigidity in the legs. Serpentine limb movement (
A) is not associated with pseudoparkinsonism. Nonreactive pupils (
C) are more indicative of a neurological issue. Smacking lips (
D) is a sign of tardive dyskinesia, another side effect of antipsychotic medications.
Question 2 of 5
A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following findings should indicate to the nurse that the ondansetron has been effective?
Correct Answer: B
Rationale: The correct answer is B: Client reports a decrease in nausea. Ondansetron is an antiemetic medication commonly used to treat nausea and vomiting.
Therefore, a decrease in nausea would indicate that the medication has been effective in managing the client's symptoms.
Incorrect answers:
A: Client reports a decrease in pain - Ondansetron is not indicated for pain relief.
C: Client reports a decrease in coughing - Ondansetron does not treat coughing.
D: Client reports a decrease in diarrhea - Ondansetron does not target diarrhea.
In summary, the key to identifying the correct answer is understanding the purpose of ondansetron as an antiemetic medication, making choice B the most appropriate indicator of its effectiveness.
Extract:
Provider Prescrptions
2 deys later
Ferrous sufate 325 mg PO every other cay. Laboratory Results
0930hrs
Feman 7 agiml (1012 150 ngrmi)
Iron 45 meg/dL (60 to 160 megrdl)
Hemagiobin
Question 3 of 5
For each of the following client statements, click to specify whether the statement indicates an understanding or no understanding of the teaching.
| Client Statement | Understanding | No understanding |
|---|---|---|
| If I experience black stools, I should notify my provider. | ||
| I should rinse my mouth after taking this medication. | ||
| I should avoid taking antacids while on this medication. | ||
| I should take this medication with orange juice. | ||
| I should take my medication on an empty stomach. |
Correct Answer: D
Rationale: [0, 0, 0, 1]
Client Statement D states, "I should take this medication with orange juice." This statement is incorrect for most medications as citrus juices like orange juice can interact with medications.
Therefore, choosing this option indicates no understanding. The other statements do not directly relate to medication instructions, so they should not be selected.
Extract:
Question 4 of 5
A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Do not drink beverages while sucking on a nicotine lozenge. This instruction is important because drinking while using a nicotine lozenge can decrease its effectiveness by diluting the nicotine concentration in the mouth. This can reduce the absorption of nicotine through the oral mucosa, impacting the efficacy of the lozenge in managing nicotine withdrawal symptoms. It is essential for the client to follow this instruction to maximize the benefits of nicotine replacement therapy.
Choice A is incorrect because changing the nicotine patch every other day does not align with the recommended frequency for most nicotine patches, which are typically changed daily.
Choice C is incorrect because chewing nicotine gum for only 10 minutes before spitting it out does not allow for sufficient absorption of nicotine through the oral mucosa to effectively reduce cravings and withdrawal symptoms.
Choice D is incorrect because administering 2 sprays of nicotine nasal spray in each nostril with each dose is not a standard or recommended dosing regimen for nicotine nasal spray, which typically involves
Question 5 of 5
A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10,000 units/mL. How many mL of heparin should the nurse administer? (Round to the nearest tenth.)
Correct Answer: 0.4
Rationale:
Correct Answer: 0.4 mL
Rationale:
To calculate the mL of heparin needed, use the formula: Desired dose/Available dose = Volume to be administered. In this case, 4,000 units / 10,000 units/mL = 0.4 mL. The nurse should administer 0.4 mL of heparin subcutaneously.
Summary of Other
Choices:
A: Incorrect. This does not follow the correct calculation method.
B: Incorrect. This does not follow the correct calculation method.
C: Incorrect. This does not follow the correct calculation method.
D: Incorrect. This does not follow the correct calculation method.
E: Incorrect. This does not follow the correct calculation method.
F: Incorrect. This does not follow the correct calculation method.
G: Incorrect. This does not follow the correct calculation method.