ATI RN
ATI RN Pharmacology 2019 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, 'Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min.' For which of the following reasons should the nurse clarify this prescription with the provider?
Correct Answer: D
Rationale: Infusing 30 mEq of potassium over 30 minutes is too rapid, risking cardiac arrhythmias, so the nurse should clarify for a slower rate.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: B
Rationale: Drowsiness is a common side effect of paroxetine, an SSRI, and clients should be advised to monitor for it.
Question 3 of 5
A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Pioglitazone can lead to fluid retention, a significant adverse effect that may exacerbate conditions like heart failure in diabetic clients.
Question 4 of 5
A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Shaking the inhaler ensures proper mixing, a spacer improves delivery, and rinsing the mouth prevents oral candidiasis. Soaking the inhaler can damage it, and fluticasone is for maintenance, not rescue.
Question 5 of 5
A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?
Correct Answer: C
Rationale: Methimazole treats hyperthyroidism by reducing thyroid hormone production, which can lead to increased sleeping as metabolism normalizes.