ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following predisposes this client to developing digoxin toxicity?
Correct Answer: A
Rationale: The correct answer is A. Taking a high ceiling diuretic predisposes the client to digoxin toxicity because diuretics can cause hypokalemia, which increases the risk of digoxin toxicity. Digoxin toxicity is more likely in patients with low potassium levels.
Choice B (COPD history), C (prolapsed mitral valve), and D (HMG CoA reductase inhibitor) are incorrect as they do not directly impact digoxin toxicity risk through potassium levels.
Question 2 of 5
A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A:
Total bilirubin 1.5 mg/dL. Amitriptyline can cause hepatotoxicity, leading to increased bilirubin levels. Elevated bilirubin can indicate liver dysfunction, necessitating immediate reporting to the provider for further evaluation.
Choices B, C, and D are within normal ranges and not directly affected by amitriptyline use.
Question 3 of 5
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C because furosemide can cause ototoxicity, leading to hearing difficulties. The nurse should notify the provider immediately to prevent further harm. A: Potassium level within normal range is expected with furosemide. B: Dizziness upon standing is a common side effect of furosemide due to fluid loss and orthostatic hypotension. D: BUN level is within normal range and not a concern in this situation.
Question 4 of 5
A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Do not drink beverages while sucking on a nicotine lozenge. This instruction is important because drinking while using a nicotine lozenge can decrease its effectiveness by diluting the nicotine concentration in the mouth. This can reduce the absorption of nicotine through the oral mucosa, impacting the efficacy of the lozenge in managing nicotine withdrawal symptoms. It is essential for the client to follow this instruction to maximize the benefits of nicotine replacement therapy.
Choice A is incorrect because changing the nicotine patch every other day does not align with the recommended frequency for most nicotine patches, which are typically changed daily.
Choice C is incorrect because chewing nicotine gum for only 10 minutes before spitting it out does not allow for sufficient absorption of nicotine through the oral mucosa to effectively reduce cravings and withdrawal symptoms.
Choice D is incorrect because administering 2 sprays of nicotine nasal spray in each nostril with each dose is not a standard or recommended dosing regimen for nicotine nasal spray, which typically involves
Question 5 of 5
A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include?
Correct Answer: C
Rationale:
Rationale: The correct answer is C: You should take this medication before meals. Omeprazole is a proton pump inhibitor that works best when taken before meals to inhibit gastric acid secretion. Taking it before meals maximizes its effectiveness.
Choice A is incorrect because omeprazole can be taken with antacids if necessary.
Choice B is incorrect as there is no need to reduce calcium intake while taking omeprazole.
Choice D is incorrect because taking a second dose without consulting a healthcare provider can lead to an overdose.