ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide is associated with this adverse effect, characterized by involuntary movements of the face, tongue, and extremities. The nurse should monitor for signs such as lip smacking, tongue protrusion, and rapid eye movements. Oral candidiasis (
A) is not directly related to metoclopramide. Black stools (
B) could indicate gastrointestinal bleeding but is not a common adverse effect of metoclopramide. Dry cough (
C) is not a typical side effect.
Therefore, the nurse should focus on monitoring for tardive dyskinesia (
D) when administering high-dose metoclopramide.
Question 2 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: B
Rationale: The correct answer is B: Furosemide and amikacin. Furosemide is a loop diuretic known to cause ototoxicity (hearing loss) and when combined with amikacin, an aminoglycoside antibiotic also known to cause ototoxicity, the risk of hearing loss is increased. Digoxin (
A) is associated with visual disturbances, not hearing loss. Losartan and atorvastatin (
C) are not known to cause hearing loss. Propranolol and raloxifene (
D) do not have ototoxic effects.
Question 3 of 5
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer IV dextrose. Hypoglycemia in a client receiving parenteral nutrition indicates a low blood sugar level, which can be dangerous. Administering IV dextrose is the appropriate action to quickly raise the blood sugar level. Obtaining arterial blood gases (
Choice
A) is not necessary for managing hypoglycemia. Warming formula to room temperature (
Choice
B) will not address the low blood sugar level. Discontinuing the infusion (
Choice
D) would worsen the hypoglycemia by stopping the source of nutrition.
Question 4 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's oxygen saturation. When a client is receiving diazepam for sedation, respiratory depression is a potential adverse reaction. Monitoring oxygen saturation helps assess the client's respiratory status. This is crucial as diazepam can suppress the respiratory drive, leading to hypoxemia. Monitoring for seizure activity (
B) is not directly related to diazepam administration for sedation. Checking urinary output (
C) and auscultating bowel sounds (
D) are not relevant in assessing adverse reactions to diazepam for sedation.
Question 5 of 5
A nurse is caring for a client who is experiencing manifestations of acute cocaine toxicity. Which of the following medication prescriptions should the nurse anticipate administering?
Correct Answer: C
Rationale: The correct answer is C: Diazepam. Diazepam is a benzodiazepine that can help manage the agitation, anxiety, and seizures associated with acute cocaine toxicity by acting as a sedative and anticonvulsant. Aspirin (
A) is not indicated for this condition. Sodium bicarbonate (
B) is used for tricyclic antidepressant overdose, not cocaine toxicity. Naloxone (
D) is used for opioid overdose, not cocaine toxicity.