ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia?
Correct Answer: A
Rationale: The correct answer is A: Constipation. Hypercalcemia, an elevated calcium level in the blood, can lead to constipation due to the inhibitory effect of excess calcium on smooth muscle contraction in the gastrointestinal tract. Decreased urine output (choice
B) is typically associated with dehydration rather than hypercalcemia. Positive Trousseau's sign (choice
C) is a sign of hypocalcemia, not hypercalcemia. Headache (choice
D) is a nonspecific symptom and is not a common manifestation of hypercalcemia.
Question 2 of 5
A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction?
Correct Answer: C
Rationale: The correct answer is C, laryngeal edema. Laryngeal edema is a severe symptom of an allergic reaction, indicating a possible anaphylactic reaction. This can lead to airway obstruction and requires immediate intervention. Nausea (
A) and insomnia (
D) are common side effects of amoxicillin but not specific to an allergic reaction. Cardiac dysrhythmia (
B) is not typically associated with amoxicillin allergy.
Question 3 of 5
A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A:
Total bilirubin 1.5 mg/dL. Amitriptyline can cause hepatotoxicity, leading to increased bilirubin levels. Elevated bilirubin can indicate liver dysfunction, necessitating immediate reporting to the provider for further evaluation.
Choices B, C, and D are within normal ranges and not directly affected by amitriptyline use.
Question 4 of 5
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should first inject air into the NPH vial before withdrawing the insulin. This step ensures proper pressure within the vial, making it easier to withdraw the desired dose without creating a vacuum. Injecting air into the regular insulin vial first could lead to contamination as air bubbles may be pushed into the insulin. Withdrawing either insulin first could result in an inaccurate dose. Injecting air into both vials is unnecessary and may increase the risk of contamination.
Therefore, injecting air into the NPH insulin vial is the first essential step in preparing the mixed insulin correctly.
Question 5 of 5
A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale:
Correct Answer: C - Increase in BP
Rationale: Albumin is a colloid solution that helps increase plasma volume, leading to an increase in blood pressure in patients with shock. This increase in BP is an expected outcome when administering albumin to a patient in shock.
Incorrect choices:
A: Oxygen saturation 96% - This finding is not directly related to the administration of albumin and does not indicate the expected response in a patient in shock.
B: PaCO2 30 mm Hg - PaCO2 levels are not typically influenced by the administration of albumin and are not a specific expected finding in this scenario.
D: Decrease in protein - Albumin is a protein, so administering it would not lead to a decrease in protein levels in the patient.
Summary: The correct answer is C because albumin infusion helps increase blood pressure in patients in shock.
Choices A, B, and D are incorrect as they are not directly related to the expected outcome of administering albumin in