ATI RN
ATI RN Pharmacology Proctored Exam Questions
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 1 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 2 of 5
A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?
Correct Answer: C
Rationale: The correct answer is C: Calcium gluconate. In hypermagnesemia, there is an excess of magnesium in the blood, leading to muscle weakness, bradycardia, and hypotension. Calcium gluconate is the antidote for hypermagnesemia as it helps counteract the effects of high magnesium levels by antagonizing the actions of magnesium on the heart and muscles. Protamine sulfate (
A) is used as an antidote for heparin overdose. Acetylcysteine (
B) is used for acetaminophen overdose. Flumazenil (
D) is used as an antidote for benzodiazepine overdose. The other answer choices are not relevant to the treatment of hypermagnesemia.
Question 3 of 5
A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B. Mixing the medications with a semisolid food for the client with dysphagia helps prevent choking or aspiration. This method makes it easier for the client to swallow the medication safely. Tilt the client's head back (
A) can lead to aspiration. Administering more than one pill at a time (
C) can increase the risk of choking. Placing medications on the back of the tongue (
D) can also trigger the gag reflex and increase the risk of aspiration.
Extract:
Provider Prescrptions
2 deys later
Ferrous sufate 325 mg PO every other cay. Laboratory Results
0930hrs
Feman 7 agiml (1012 150 ngrmi)
Iron 45 meg/dL (60 to 160 megrdl)
Hemagiobin
Question 4 of 5
For each of the following client statements, click to specify whether the statement indicates an understanding or no understanding of the teaching.
| Client Statement | Understanding | No understanding |
|---|---|---|
| If I experience black stools, I should notify my provider. | ||
| I should rinse my mouth after taking this medication. | ||
| I should avoid taking antacids while on this medication. | ||
| I should take this medication with orange juice. | ||
| I should take my medication on an empty stomach. |
Correct Answer: D
Rationale: [0, 0, 0, 1]
Client Statement D states, "I should take this medication with orange juice." This statement is incorrect for most medications as citrus juices like orange juice can interact with medications.
Therefore, choosing this option indicates no understanding. The other statements do not directly relate to medication instructions, so they should not be selected.
Extract:
Question 5 of 5
A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer?
Correct Answer: D
Rationale: The correct answer is D: Fentanyl transmucosal. Fentanyl is a potent opioid analgesic that can be used for breakthrough pain in cancer patients already on around-the-clock opioid therapy like morphine. Fentanyl transmucosal provides rapid pain relief, making it suitable for managing sudden onset pain. Naloxone (
A) is an opioid antagonist used to reverse opioid overdose, not for routine pain management. Morphine tablet (
B) is not ideal for immediate pain relief due to slower onset. Lidocaine patch (
C) is used for localized pain, not systemic pain relief like in this case.
Therefore, fentanyl transmucosal is the most appropriate choice for managing the client's pain effectively.