ATI RN
ATI RN Pharmacology 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?
Correct Answer: B
Rationale: Confusion may indicate serotonin syndrome or worsening mental status, a priority to report. Other effects are less urgent.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse, 'I do not want to take this medication. I would prefer a natural therapy.' Which of the following supplements should the nurse suggest the client discuss with the provider?
Correct Answer: D
Rationale: Saw palmetto may reduce symptoms of benign prostate hypertrophy by inhibiting 5-alpha-reductase, which reduces prostate growth. Black cohosh is used for menopausal symptoms, garlic supports cardiovascular health, and feverfew treats migraines, none of which address BPH.
Question 3 of 5
A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?
Correct Answer: C
Rationale: Atorvastatin is a statin used to lower LDL cholesterol levels. An LDL level of 120 mg/dL, while not optimal (ideal is <100 mg/dL), indicates a reduction in 'bad' cholesterol, suggesting the treatment is effective. Urine specific gravity measures urine concentration, BUN reflects kidney function, and blood glucose indicates sugar levels, none of which are directly affected by atorvastatin.
Question 4 of 5
A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, 'Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min.' For which of the following reasons should the nurse clarify this prescription with the provider?
Correct Answer: A
Rationale: The infusion rate (30 mEq over 30 min) exceeds safe limits (10-20 mEq/h), risking arrhythmias. Other options are incorrect.
Question 5 of 5
A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?
Correct Answer: D
Rationale: The nurse who identifies the error completes the incident report to ensure accurate documentation. Other roles are secondary.