ATI RN
ATI RN Pharmacology 2019 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use?
Correct Answer: A
Rationale: TPN's high concentration necessitates a central venous access device to prevent vein irritation and ensure proper delivery.
Question 2 of 5
A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?
Correct Answer: C
Rationale: Carbamazepine induces metabolism of estrogen-progestin combinations, reducing their contraceptive efficacy, requiring alternative methods.
Question 3 of 5
A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Correct Answer: B
Rationale: Oliguria (reduced urine output) is a key sign of fluid volume deficit, as the body conserves fluid, often seen with osmotic laxative use.
Question 4 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?
Correct Answer: D
Rationale: High-ceiling diuretics like furosemide can cause hypokalemia, which increases the risk of digoxin toxicity.
Question 5 of 5
A nurse is caring for a client who has heart failure and monitor when administering lisinopril?
Correct Answer: C
Rationale: Lisinopril, an ACE inhibitor, can cause hypotension, especially after the first dose or in heart failure clients, making blood pressure monitoring essential.