ATI RN
ATI N211 Pharmacology Exam I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: "I feel nauseated and have no appetite." Nausea and loss of appetite are common adverse effects of digoxin. Digoxin toxicity can lead to gastrointestinal symptoms like nausea, vomiting, and anorexia. This is important to monitor because it can indicate toxicity, which can be life-threatening. The other options (A, B, and
C) are not typically associated with digoxin adverse effects. A backache (
A) is not a common side effect of digoxin. Walking a mile a day (
B) and increased urination (
C) are positive signs of improved heart failure symptoms, not adverse effects of digoxin.
Therefore, option D is the correct answer as it indicates a potential adverse effect that should be reported to the healthcare provider.
Question 2 of 5
A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?
Correct Answer: C
Rationale: The correct technique is C because tapping the bottom helps dislodge any liquid that may be stuck in the neck of the ampule, reducing the risk of spillage. Placing a gauze pad around the neck provides a barrier to prevent injury from glass shards. Breaking off the bottom with a forward motion away from the body ensures that any glass fragments move away, minimizing the risk of injury to the nurse or client. This technique is safe and effective for opening glass ampules.
Choice A is incorrect as breaking off the neck in a downward motion may cause glass shards to fall into the medication.
Choice B is incorrect as snapping to the right side may increase the risk of glass shards flying in that direction.
Choice D is incorrect as bending the top toward the body may lead to glass fragments coming towards the nurse.
Question 3 of 5
A nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin. Which of the following baseline examinations should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests. Atorvastatin is a medication used to lower cholesterol levels, and it can potentially cause liver damage as a side effect.
Therefore, it is essential to monitor the client's liver function before starting the medication to establish a baseline.
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Choice B: Hearing test is not necessary for a client starting atorvastatin.
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Choice C: Papanicolaou test is a cervical cancer screening test and not relevant in this scenario.
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Choice D: Dental examination is unrelated to atorvastatin use and baseline monitoring.
In summary, liver function tests are crucial due to the potential liver-related side effects of atorvastatin, making it the appropriate baseline examination in this case.
Question 4 of 5
A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: I will avoid drinking grapefruit juice. Grapefruit juice can interact with atorvastatin, leading to increased drug levels and potential side effects. Avoiding grapefruit juice ensures the medication works effectively.
Choice A is incorrect as routine lab tests are necessary to monitor liver function due to potential side effects.
Choice C is incorrect as atorvastatin should be taken with food to enhance absorption.
Choice D is incorrect as clay-colored stools are not an expected side effect of atorvastatin.
Question 5 of 5
A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?
Correct Answer: B
Rationale: The correct answer is B: Prothrombin time (PT). Warfarin is a medication that works by inhibiting vitamin K-dependent clotting factors, leading to anticoagulation. PT measures the extrinsic pathway of coagulation, which is directly affected by warfarin. By monitoring PT, the nurse can assess the therapeutic effect of warfarin in maintaining the client's blood at the desired level of anticoagulation.
A: Hemoglobin (Hgb) is not directly related to the anticoagulant effect of warfarin.
C: Bleeding time is a measure of platelet function, not affected by warfarin.
D: Activated partial thromboplastin time (aPTT) primarily assesses the intrinsic pathway of coagulation and is not the preferred test for monitoring warfarin therapy.