ATI RN
ATI Pharmacology 2023 III 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 because propranolol is a beta-blocker that can slow down the heart rate. A heart rate of 56/min may indicate bradycardia, which can be a sign of overdose or adverse reaction to the medication. The nurse should intervene by assessing for symptoms of bradycardia and potentially contacting the healthcare provider.
Choices B, C, and D are within normal ranges and do not require immediate intervention.
Choice B indicates adequate oxygen saturation, choice C shows normal respiratory rate, and choice D represents a slightly low but acceptable blood pressure reading.
Question 2 of 5
A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C: Prochlorperazine. This medication is an antiemetic that helps in controlling severe vomiting. It works by blocking dopamine receptors in the brain, reducing nausea and vomiting. Propafenone (
A) is an antiarrhythmic drug, not indicated for vomiting. Simvastatin (
B) is a statin used for lowering cholesterol. Metformin (
D) is an antidiabetic medication. These choices are incorrect for treating severe vomiting as they do not have antiemetic properties.
Question 3 of 5
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Melena. Melena indicates gastrointestinal bleeding, which can be a serious side effect of warfarin. It requires immediate medical attention to prevent further complications like hemorrhage. Reporting this symptom promptly is crucial for timely intervention.
Choice A (Fever) may indicate an infection, but it is not as critical as bleeding.
Choice B (Abdominal cramping) is a common side effect of warfarin and can usually be managed with adjustments in diet or medication.
Choice C (Hair loss) is not typically associated with warfarin use and is a less urgent concern.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because rifampin can cause a harmless side effect of orange discoloration of bodily fluids, including urine. This is important for the client to be aware of to prevent unnecessary concern or alarm.
Choice A is incorrect as rifampin can reduce the effectiveness of oral contraceptives.
Choice B is incorrect as rifampin is usually taken once daily in the morning on an empty stomach.
Choice C is incorrect as wearing soft contact lenses is not recommended while on rifampin due to potential discoloration.
Question 5 of 5
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?
Correct Answer: D
Rationale: The correct answer is D: A client who has AIDS. Clients with AIDS have compromised immune systems, making them more susceptible to potential adverse effects of the varicella vaccine. Live attenuated vaccines like the varicella vaccine can pose a risk of causing the actual disease in immunocompromised individuals.
Therefore, administering the varicella vaccine to a client with AIDS can lead to severe complications.
A: An older adult client living in a long-term care facility - Older adults are at increased risk for complications from varicella but it is not a contraindication.
B: A young adult who has an allergy to eggs - The varicella vaccine is made in eggs but having an egg allergy is not a contraindication.
C: A child who recently received the human papillomavirus vaccine - Receiving the HPV vaccine does not contraindicate receiving the varicella vaccine.