ATI RN
ATI Pharmacology Exam Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?
Correct Answer: B
Rationale: The correct answer is B: Allopurinol. Allopurinol is a medication commonly used to treat gout by reducing the production of uric acid in the body. Gout is caused by the buildup of uric acid crystals in the joints, leading to pain and inflammation.
Therefore, administering Allopurinol helps lower uric acid levels and prevent further gout attacks.
The other choices (A, C,
D) are incorrect because:
A: Spironolactone is a diuretic that helps with fluid retention but does not treat gout.
C: Zolpidem is a sedative-hypnotic used for insomnia, not gout.
D: Aprazolam is a benzodiazepine used for anxiety disorders, not gout.
Question 2 of 5
A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?
Correct Answer: C
Rationale: The correct answer is C: Constipation. Mydriatic eye drops contain anticholinergic medications that can cause systemic anticholinergic effects. Constipation is a common systemic anticholinergic effect due to the inhibition of gastrointestinal motility. Bradycardia, seizures, and hypothermia are not typical signs of systemic anticholinergic effects. Bradycardia can be a result of increased vagal tone, seizures can be due to neurological issues, and hypothermia is not directly related to anticholinergic effects.
Question 3 of 5
A nurse is preparing to administer blood to a client. The unit of blood on hand is type O negative, and the client has type A positive blood. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Rationale: The correct action is to administer the blood ordered (
Choice
C) because type O negative blood is considered the universal donor and can be safely given to individuals with any blood type, including type A positive. Completing an incident report (
Choice
A) is not necessary as there is no error. Contacting the provider for further orders (
Choice
B) is unnecessary since the blood type available is compatible. Notifying the blood bank (
Choice
D) is not needed as the correct blood type is available.
Question 4 of 5
A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should the client be placed?
Correct Answer: A
Rationale: The correct answer is A: On the nonoperative side. Placing the client on the nonoperative side after a right pneumonectomy helps prevent the remaining lung from being compressed by the mediastinum, promoting optimal ventilation and oxygenation. Placing the client on the operative side could lead to decreased lung expansion and potential complications.
Choices B, C, and D are incorrect. Sims position is used for rectal examinations, Semi-Fowler's position is a semi-upright sitting position, and Prone position is lying face down, none of which are optimal for post-operative care following a pneumonectomy.
Question 5 of 5
A nurse is caring for a client who is experiencing Cushing's Triad following a subdural hematoma. Which of the following medications should the nurse plan to administer?
Correct Answer: A
Rationale: The correct answer is A: Mannitol. Mannitol is an osmotic diuretic that helps reduce intracranial pressure, which is crucial in managing a subdural hematoma. Cushing's Triad includes hypertension, bradycardia, and irregular respirations due to increased intracranial pressure. Mannitol helps decrease cerebral edema, improving cerebral perfusion and reducing the risk of herniation. Hydroxyethyl glucose, Albumin, and Dextran 70 are not typically used for reducing intracranial pressure in this situation.