ATI RN
ATI RN Pharmacology 2019 II Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: C
Rationale:
Total bilirubin of 1.5 mg/dL is elevated, suggesting possible liver dysfunction, which should be reported for a client on amitriptyline.
Question 4 of 5
A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?
Correct Answer: D
Rationale: Fever, often accompanied by chills or nausea, is a common sign of an acute infusion reaction to amphotericin B, requiring intervention.
Question 5 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.