ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?
Correct Answer: A
Rationale: The correct answer is A: Ginkgo biloba. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its anticoagulant properties, potentially leading to serious complications. Coenzyme Q10 (
Choice
B), Valerian (
Choice
C), and Probiotics (
Choice
D) do not have significant interactions with warfarin. Ginkgo biloba is the only supplement in the list known to interact adversely with warfarin.
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: C
Rationale: The correct answer is C: Furosemide and amikacin. Furosemide is a loop diuretic known to cause hearing loss, especially when combined with amikacin, an aminoglycoside antibiotic also associated with ototoxicity. The interaction between these two medications can potentiate the risk of hearing loss. Propranolol, raloxifene, losartan, atorvastatin, digoxin, and levothyroxine are not typically associated with hearing loss as a medication interaction. Monitoring Furosemide and amikacin is crucial to prevent potential auditory complications.
Question 3 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. In septic shock, hypotension is a common sign of inadequate tissue perfusion. Dopamine is a vasopressor that helps increase blood pressure by constricting blood vessels.
Therefore, if the client is still hypotensive despite receiving dopamine, it indicates that the current infusion rate is not sufficient to maintain adequate perfusion. Increasing the infusion rate can help improve blood pressure and perfusion.
Incorrect choices:
A: Headache - Not a direct indication of dopamine infusion rate adjustment.
C: Chest pain - Not a direct indication of dopamine infusion rate adjustment.
D: Extravasation - Indicates leakage of medication from the IV site, not a need to adjust infusion rate.
Extract:
Nurses' Notes
Laboratory Results
0900:
The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year.
Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn.
A nurse is caring for a female client in a provider's office.
Question 4 of 5
For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided. Options: A. 'If I experience black stools, I should notify my provider.' B. 'I should avoid taking antacids while on this medication.' C. 'I should take my medications on an empty stomach.' D. 'I should rinse my mouth after taking this medication.' E. 'I should take this medication with orange juice.'
Correct Answer: B,D,E
Rationale:
Correct Answer: B, D, E
Explanation:
B. "I should avoid taking antacids while on this medication." - Correct. Antacids can interfere with the absorption of certain medications.
D. "I should rinse my mouth after taking this medication." - Correct. Some medications can cause oral irritation, so rinsing the mouth is necessary.
E. "I should take this medication with orange juice." - Incorrect. Taking medication with specific juices can affect absorption. It is not recommended to take this medication with orange juice.
Extract:
Question 5 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the medication into the anterolateral or posterolateral abdominal area. This site is recommended for enoxaparin injection as it minimizes the risk of hitting a large blood vessel or nerve. It also provides a safe and effective route for absorption. Massaging the injection site (
Choice
A) is not recommended as it can cause bruising or irritation. Expelling air bubbles (
Choice
B) is important to prevent air embolism, but this is not typically a concern with prefilled syringes. Holding the skin taut (
Choice
C) is not necessary and may cause unnecessary discomfort. Administering the medication into other areas of the body (
Choice E, F, G) may not provide consistent absorption or could lead to complications.