ATI RN
ATI RN Pharmacology 2019 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
Correct Answer: D
Rationale: Exercise-induced sweating can lead to sodium loss, and lithium can further increase hyponatremia risk, requiring careful monitoring.
Question 2 of 5
A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Polypharmacy, multiple health issues, reduced body fat, and decreased renal function increase the risk of adverse drug reactions in older adults due to altered pharmacokinetics.
Question 3 of 5
A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Staying upright for at least 15 minutes after taking ferrous gluconate helps prevent esophageal irritation, which can occur if the medication remains in contact with the esophageal lining. Taking it with milk or antacids can reduce absorption, and black stools are an expected side effect.
Question 4 of 5
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of this medication?
Correct Answer: B
Rationale: Hypotension is a known adverse effect of phenytoin, especially with rapid IV administration, requiring careful monitoring.
Question 5 of 5
A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Correct Answer: B
Rationale: Oliguria indicates fluid volume deficit, as the body reduces urine output to conserve fluid, a potential issue with osmotic laxatives.