ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication that can cause respiratory depression as a common adverse effect. This is due to its central nervous system depressant effects. The nurse should monitor the client closely for signs of decreased respiratory rate, such as shallow breathing or respiratory distress. Monitoring respiratory status is crucial to prevent respiratory compromise or arrest.
Other choices are incorrect:
A: Increase in heart rate - Propofol typically causes a decrease in heart rate, not an increase.
C: Increase in bowel function - Propofol does not affect bowel function.
D: Decrease in body temperature - Propofol is not known to cause a decrease in body temperature.
Question 2 of 5
A nurse is assessing a client who received the measles, mumps, and rubella virus vaccine. Which of the following findings indicates an adverse reaction to the vaccination?
Correct Answer: B
Rationale: The correct answer is B: Petechiae. Petechiae are small red or purple spots on the skin caused by bleeding under the skin. This can indicate a potential adverse reaction to the vaccine, such as a bleeding disorder. The other choices, bradycardia, tinnitus, and blurred vision, are not commonly associated with adverse reactions to the measles, mumps, and rubella vaccine. Bradycardia is a slow heart rate, tinnitus is ringing in the ears, and blurred vision may have other causes unrelated to the vaccination.
Therefore, choice B is the most relevant and concerning finding in this scenario.
Question 3 of 5
A nurse in a provider's office is evaluating the effectiveness of alendronate for a client who has osteoporosis. Which of the following diagnostic results should the nurse review?
Correct Answer: C
Rationale: The correct answer is C: Dual-energy x-ray absorptiometry (Dexa scan). The Dexa scan is a diagnostic test used to measure bone mineral density and assess the effectiveness of osteoporosis treatment like alendronate. It helps in monitoring the client's bone health and determining if the medication is working to prevent further bone loss. Reviewing the Dexa scan results can provide valuable information on the client's response to the treatment.
Choice A (Urine specific gravity) is not relevant to evaluating the effectiveness of alendronate for osteoporosis.
Choice B (Hemoglobin A1
C) is a test for diabetes management and not specific to osteoporosis treatment.
Choice D (Lumbar puncture) is an invasive procedure used to collect cerebrospinal fluid and is not related to evaluating osteoporosis treatment.
Question 4 of 5
A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Rationale: A nurse administering metformin instead of metoprolol can lead to hypoglycemia. Checking the client's glucose level is crucial to assess for hypoglycemia and provide appropriate treatment. Monitoring thyroid function levels (
B), uric acid level (
C), and HDL level (
D) are not immediate priorities in this scenario. Thyroid function levels are not directly affected by metformin or metoprolol. Uric acid levels and HDL levels are also not directly relevant to the situation at hand.
Question 5 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. When titrating a nitroprusside infusion, monitoring blood pressure is crucial as nitroprusside is a potent vasodilator that can cause hypotension. By adjusting the infusion rate based on blood pressure readings, the nurse can prevent hypotension or hypertension. Monitoring stroke volume, cardiac output, or urine output is not specific to nitroprusside titration and may not reflect the immediate effects of the medication on blood pressure. Blood pressure is the most direct indicator of the medication's hemodynamic effects and guides titration to maintain optimal perfusion pressure.