ATI RN
ATI RN Pharmacology 2019 Exam 6 Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this drug?
Correct Answer: D
Rationale: Long-term prednisone causes bone loss, increasing osteoporosis risk, requiring monitoring in older adults.
Question 2 of 5
A nurse is providing discharge teaching about warfarin to a client who has deep-vein thrombosis. The nurse should instruct the client to obtain which of the following laboratory tests monthly?
Correct Answer: C
Rationale: INR monitoring ensures warfarin maintains therapeutic anticoagulation, preventing clotting or bleeding complications.
Question 3 of 5
A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A lithium level of 2.6 mEq/L indicates toxicity, requiring hemodialysis to rapidly reduce levels and prevent harm.
Question 4 of 5
A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?
Correct Answer: D
Rationale: Alcohol use disorder increases hepatotoxicity risk with acetaminophen, necessitating provider notification to assess liver safety.
Question 5 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,C,D
Rationale: Polypharmacy, multiple health problems, and decreased renal function increase adverse drug reaction risk in older adults due to interactions and impaired clearance.