ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?
Correct Answer: D
Rationale: Phenelzine, an MAOI, combined with tyramine-rich foods like aged cheese can cause a hypertensive crisis.
Extract:
Vital Signs Day 1:
Temperature 36.2 0 C (97.20 F) Respiratory rate 18/min
Heart rate 74/min
Blood pressure 1 1 8/68 mm Hg Sp02 96% on room air
Day 7:
Temperature 36.9 0 C (98.40 F) Heart rate 86/min
Respiratory rate 18/min Blood pressure 98/66 mm Hg Sp02 97% on room air
Provider Prescriptions Day 1:
Levodopa 250 mg/Carbidopa 25 mg 1 tablet daily Day
7:
Levodopa 250 mg/Carbidopa 25 mg 2 tablets daily
Question 2 of 5
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,D,E,F
Rationale: The medication causes a harmless discoloration of urine (Levodopa causes darkening of urine rather than lightening), high protein intake interferes with the availability of the medication in the CNS, The medication causes orthostatic hypotension and dizziness, The medication should be taken with a meal if nausea and vomiting occurs, Initially the medication can cause dyskinesia which should be reported, The medication also causes hallucinations and sleep disturbances
Extract:
Question 3 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: High-dose metoclopramide can cause tardive dyskinesia, a serious movement disorder, due to its dopamine antagonist effects.
Question 4 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?
Correct Answer: B
Rationale: Calcium can interfere with the absorption of levothyroxine, requiring a 4-hour separation to ensure effectiveness.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: A
Rationale: Carbamazepine can cause visual disturbances such as blurred vision as an adverse effect, which the client should monitor and report.