ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention?
Correct Answer: A
Rationale: The correct answer is A: Heart rate of 56/min. Propranolol is a beta-blocker that can cause bradycardia as a side effect. A heart rate of 56/min is lower than the normal range, indicating bradycardia. This finding requires the nurse's intervention as it can lead to decreased cardiac output and potential complications.
Choice B (Sa02 95% on 2 L/min of oxygen) indicates adequate oxygen saturation and does not require immediate intervention.
Choice C (Respirations 22/min) falls within the normal range and does not require immediate intervention.
Choice D (Blood pressure 106/68 mm Hg) is within normal limits for a client with hypertension on propranolol and does not require immediate intervention.
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 correct statements to include when teaching the client about the prescribed medication are A, B, D, E, and F.
A: Consumption of a high-protein meal can reduce the effectiveness of the medication - Important for optimizing medication efficacy.
B: You can experience vivid nightmares - Warns of potential side effect.
D: The medication can cause nausea, so take with a meal - Helps manage potential side effect.
E: This medication can make you light-headed if you stand up too quickly from a seated or lying position - Warns of potential adverse effect.
F: You may initially notice an increase in involuntary movements - Informs about potential side effect.
These statements cover important aspects such as medication effectiveness, common side effects, how to manage side effects, and potential adverse effects. Other choices are incorrect because they do not address key information related to the medication's effects, side effects, or how to manage them effectively.
Extract:
Question 3 of 5
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?
Correct Answer: A
Rationale: The correct answer is A: Ginkgo biloba. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its anticoagulant properties, potentially leading to serious complications. Coenzyme Q10 (
Choice
B), Valerian (
Choice
C), and Probiotics (
Choice
D) do not have significant interactions with warfarin. Ginkgo biloba is the only supplement in the list known to interact adversely with warfarin.
Question 4 of 5
A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?
Correct Answer: C
Rationale: The correct answer is C: Decreased ascites. Spironolactone is a potassium-sparing diuretic commonly used in cirrhosis to manage ascites by promoting diuresis and reducing fluid accumulation in the abdomen.
Therefore, a decrease in ascites would indicate that the client is responding to the treatment. Increased energy (
A) and increased appetite (
D) are not specific indicators of treatment response in cirrhosis. Decreased jaundice (
B) may improve with liver function but is not a direct response to spironolactone.
Question 5 of 5
A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is important to ensure accurate dosage measurement and injection technique, preventing medication errors. Option A is incorrect as insulin glargine is usually given once daily, not before each meal. Option B is incorrect because the deltoid muscle is not a recommended site for insulin injection due to inconsistent absorption. Option C is incorrect as additional doses should not be taken without consulting healthcare provider. Option D is correct as it emphasizes safety and accuracy in insulin administration.