ATI RN
ATI RN Pharmacology 2019 II 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 factors predisposes this client to developing digoxin toxicity?
Correct Answer: D
Rationale: High-ceiling diuretics like furosemide can cause hypokalemia, which increases the risk of digoxin toxicity.
Question 2 of 5
A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?
Correct Answer: D
Rationale: An aPTT of 90 seconds is significantly prolonged post-heparin, indicating possible excessive anticoagulation, requiring an incident report.
Question 3 of 5
A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Red-orange discoloration of urine and sweat is a harmless, expected side effect of rifampin, requiring only documentation.
Question 4 of 5
A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?
Correct Answer: B
Rationale: A potassium level of 5.3 mEq/L is elevated, and withholding triamterene, a potassium-sparing diuretic, prevents hyperkalemia.
Question 5 of 5
A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Fentanyl transmucosa provides rapid relief for breakthrough pain, suitable for cancer-related pain not controlled by IV morphine.