ATI RN
ATI Pharmacology Assessment 1 Questions
Extract:
Question 1 of 5
A nurse is completing an admission assessment for a client who has been taking St. John's wort. The nurse should identify that which of the following medications can interact with St. John's wort?
Correct Answer: C
Rationale: Citalopram is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. St. John's wort can interact with SSRIs like citalopram, potentially leading to serotonin syndrome.
Extract:
Nurses' Notes
History and Physical
Vital Signs
Physical Examination Results
5 weeks ago:
The client reports experiencing persistent insomnia and anxiety. She has been feeling increasingly restless and has lost weight despite having an increased appetite. Her skin is warm and moist. Speech is rapid, and she seems anxious and fidgety during the assessment. She denies any abdominal discomfort or issues with digestion. Lung sounds are clear to auscultation, and her abdomen is soft with normoactive bowel sounds. The client was instructed to undergo lab work and return for follow-up in 4 weeks.
Today:
The client reports some improvement but still experiences occasional anxiety. She states she has been sleeping better for the past week and her appetite remains unchanged. The nurse notes her skin is warm but now dry. Her lung sounds are clear, and her abdomen remains soft and non-tender with normoactive bowel sounds. The client expresses that she still feels anxious at times but believes her symptoms are improving.
Question 2 of 5
Select the 4 findings that indicate an improvement in the client's condition.
| Temperature |
| Mood |
| Weight |
| Sleep pattern |
| Heart rate |
| Abdominal findings |
Correct Answer: B,C,D,E
Rationale: Improved mood, weight gain, better sleep, and reduced heart rate indicate improvement in the client's condition.
Extract:
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider?
Correct Answer: D
Rationale: Fludrocortisone is a synthetic corticosteroid that is used to replace aldosterone in patients with adrenal insufficiency. It helps maintain sodium balance and blood pressure.
Question 4 of 5
A nurse is assessing a client who is receiving gemfibrozil. The nurse should identify which of the following findings as an adverse effect of this medication?
Correct Answer: B
Rationale: Muscle tenderness is a known adverse effect of gemfibrozil. It can indicate myopathy or rhabdomyolysis, which are serious conditions that require medical attention.
Question 5 of 5
A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.
| Options | indicated | contraindicated |
|---|---|---|
| It is expected for your stools to be black while taking this medication | ||
| Take this medication with an antacid if you experience heartburn from the medication | ||
| Drinking orange juice with this medication decreases the absorption of the medication | ||
| You can take this medication with meals if you experience discomfort when taking on an empty stomach |
Correct Answer: A,B,C,D
Rationale: Black stools can indicate gastrointestinal bleeding and should be reported. Antacids can interfere with absorption. Orange juice can decrease absorption of some medications. Taking with meals can reduce discomfort.