ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing for allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?
Correct Answer: A
Rationale: The correct answer is A: Eggs. The influenza vaccine is typically produced using eggs, so individuals with egg allergies may have an adverse reaction to the vaccine. It is essential for the nurse to report an egg allergy as a possible contraindication to receiving the influenza vaccine to prevent any potential allergic reactions. Other choices such as shellfish, peanuts, and milk are not directly related to the influenza vaccine composition, therefore not considered contraindications for receiving the vaccine.
Extract:
Vital signs: Day 1: Temperature 36.2°C (97.2°F), Respiratory rate 18/min, Heart rate 74/min, Blood pressure 118/68 mm Hg, SpO2 96% on room air. Day 7: Temperature 36.9°C (98.4°F), Heart rate 86/min, Respiratory rate 18/min, Blood pressure 98/66 mm Hg, SpO2 97% on room air.
Question 2 of 5
A nurse is caring for a client in a provider's office. 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, E, F
Rationale: The correct answer includes statements A, B, E, and F. Statement A is correct because taking the medication with a meal can help prevent nausea. Statement B is correct as vivid nightmares can be a side effect of the medication. Statement E is correct because an increase in involuntary movements can occur initially. Statement F is correct as the medication can cause lightheadedness upon standing quickly.
Choice C is incorrect because the color change in urine is not typically associated with the medication.
Choice D is incorrect as high protein meals typically do not affect the effectiveness of this medication.
Extract:
Question 3 of 5
A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (SATA)
Correct Answer: A,C,D,E
Rationale:
Correct Answer: A, C, D, E
Rationale:
A: Polypharmacy in older adults can increase the risk of drug interactions and adverse reactions.
C: Decreased percentage of body fat can lead to altered drug distribution and increased drug concentrations.
D: Older adults with multiple health problems may have compromised organ function, leading to increased susceptibility to adverse drug reactions.
E: Older adults are more likely to have age-related changes in drug metabolism, which can affect the pharmacokinetics of medications.
Summary:
B: Increased rate of absorption is not necessarily a risk factor for adverse drug reactions in older adults.
F & G:
Choices not provided, so cannot be considered as risk factors.
Question 4 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 5 of 5
A nurse is caring for a 4-year-old child following an orthopedic procedure. When assessing the child for pain, which of the following pain scales should the nurse use?
Correct Answer: A
Rationale: The correct answer is A: FACES pain scale. This is appropriate for children aged 3 and older who can point to the face that best represents their pain level. It is simple, easy to understand, and has been validated for use in pediatric populations. The FACES scale allows children to express their pain visually, making it suitable for young children who may not be able to articulate their pain verbally.
The other choices are not as appropriate for assessing pain in a 4-year-old child.
B: Numeric scale may be challenging for young children to understand and use effectively.
C: CRIES scale is typically used for infants and may not be suitable for a 4-year-old child who can communicate more effectively.
D: Word graphic scales may be too complex for young children to comprehend.
Therefore, the FACES pain scale is the most suitable choice for assessing pain in a 4-year-old child post orthopedic procedure.