ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. Nifedipine is a calcium channel blocker used to treat hypertension. Before administering, the nurse should assess the client's blood pressure as this medication can cause hypotension as a side effect. Monitoring blood pressure ensures safety and effectiveness of the medication. Assessing respiratory rate, temperature, and oxygen saturation are important but not specific to nifedipine administration. Blood pressure is the priority assessment in this case.
Question 2 of 5
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
Correct Answer: D
Rationale: The correct answer is D: WBC count. Filgrastim is a medication that stimulates the production of white blood cells (WBCs). Monitoring the WBC count is essential to evaluate the effectiveness of the treatment as an increase in WBC count indicates that the medication is working to boost the immune system.
A: Potassium level is not directly related to filgrastim therapy.
B: BUN (blood urea nitrogen) is not typically affected by filgrastim.
C: INR (International Normalized Ratio) is a measure of blood clotting and is not relevant to monitoring filgrastim therapy.
Therefore, the correct choice is D as it directly reflects the intended therapeutic effect of filgrastim.
Question 3 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: The correct answer is D. Rifampin can cause a harmless side effect of turning urine, saliva, sweat, and tears orange. This is important for the client to be aware of to prevent unnecessary worry or concern.
Choice A is incorrect because rifampin can reduce the effectiveness of oral contraceptives.
Choice B is incorrect as rifampin is usually taken on an empty stomach.
Choice C is incorrect as wearing soft contact lenses is not recommended due to the potential for discoloration.
Question 4 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 5 of 5
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?
Correct Answer: A
Rationale:
Correct Answer: A: Administer epinephrine 1M.
Rationale: Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse the severe allergic reaction by constricting blood vessels, increasing heart rate, and opening airways, thus improving breathing and blood pressure. Administering epinephrine intramuscularly is recommended in the initial management of anaphylaxis.
Summary of other choices:
B: Replacing the IV infusion with saline may help maintain fluid status but does not address the anaphylactic reaction.
C: Diphenhydramine may be used to relieve itching and hives but does not address the life-threatening respiratory distress in anaphylaxis.
D: Elevating the legs and feet does not address the immediate need to treat the anaphylactic reaction and may delay necessary interventions.