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: Tardive dyskinesia is a serious adverse effect of metoclopramide, especially with long-term or high-dose use. It involves involuntary, repetitive movements and can be irreversible.
Question 2 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?
Correct Answer: A
Rationale: Taking a high-ceiling diuretic, such as furosemide, can lead to hypokalemia (low potassium levels), which increases the risk of digoxin toxicity. Low potassium levels enhance the effects of digoxin on the heart, making toxicity more likely.
Question 3 of 5
A nurse is teaching a client who has a new prescription for nitroglycerin sublingual tablets for treating angina. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Place the tablet under the tongue until dissolved' is correct. Sublingual nitroglycerin should be placed under the tongue to dissolve, allowing for rapid absorption and relief of angina.
Question 4 of 5
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?
Correct Answer: B
Rationale: PT (prothrombin time) is the correct test to review before administering warfarin. PT measures the extrinsic pathway of coagulation and is used to calculate the INR (International Normalized Ratio), which helps monitor and adjust warfarin dosage to ensure therapeutic levels and prevent complications.
Question 5 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: A
Rationale: Breath sounds should be assessed first because naloxone is administered to reverse respiratory depression caused by opioid toxicity. Ensuring that the client is breathing adequately is the top priority.