ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended-release. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: You will need liver function tests before beginning therapy. This is crucial because lovastatin can potentially cause liver damage, so monitoring liver function is necessary to ensure the medication is safe for the client.
Choice B is incorrect because lovastatin does not interact with dairy products.
Choice C is incorrect as lovastatin extended-release should not be crushed.
Choice D is incorrect as there is no specific time requirement for taking lovastatin.
Question 2 of 5
A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Document this as an expected finding. Rifampin, an antibiotic used to treat tuberculosis, can cause a harmless side effect of red-orange discoloration of bodily fluids like urine and sweat. Checking liver function tests (choice
A) is unnecessary as this side effect is not related to liver function. Instructing the client to increase fluid intake (choice
B) may not resolve the discoloration and is not the priority. Preparing the client for dialysis (choice
D) is unnecessary and extreme for this expected side effect.
Therefore, the most appropriate action is to document this as an expected finding, as it does not indicate any serious issue.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse, 'I do not take this medication. I would prefer a natural therapy.' Which of the following supplements should the nurse suggest the client discuss with the provider?
Correct Answer: D
Rationale: The correct answer is D: Saw palmetto. Saw palmetto is a commonly used herbal remedy for benign prostatic hyperplasia (BPH) symptoms. It has been shown to potentially reduce urinary symptoms and improve quality of life in BPH patients. The nurse should suggest the client discuss saw palmetto with the provider as it may be a suitable alternative to doxazosin.
A: Black cohosh is not typically used for BPH and is more commonly used for menopausal symptoms in women.
B: Garlic does not have a direct link to treating BPH symptoms.
C: Feverfew is primarily used for migraines and inflammatory conditions, not for BPH.
E, F, G: No additional choices provided.
In summary, the other choices are incorrect because they are not commonly associated with treating BPH symptoms, unlike saw palmetto which has some evidence supporting its use in this context.
Question 4 of 5
A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10,000 units/mL. How many mL of heparin should the nurse administer? (Round to the nearest tenth.)
Correct Answer: 0.4
Rationale:
Correct Answer: 0.4 mL
Rationale:
To calculate the mL of heparin needed, use the formula: Desired dose/Available dose = Volume to be administered. In this case, 4,000 units / 10,000 units/mL = 0.4 mL. The nurse should administer 0.4 mL of heparin subcutaneously.
Summary of Other
Choices:
A: Incorrect. This does not follow the correct calculation method.
B: Incorrect. This does not follow the correct calculation method.
C: Incorrect. This does not follow the correct calculation method.
D: Incorrect. This does not follow the correct calculation method.
E: Incorrect. This does not follow the correct calculation method.
F: Incorrect. This does not follow the correct calculation method.
G: Incorrect. This does not follow the correct calculation method.
Question 5 of 5
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?
Correct Answer: A
Rationale: The correct answer is A: Urticaria. Urticaria, also known as hives, is a common symptom of an allergic reaction to penicillin. It presents as raised, red, itchy welts on the skin. Monitoring for urticaria is crucial as it can indicate an immediate hypersensitivity reaction, potentially progressing to anaphylaxis. Bradycardia (
B), pallor (
C), and dyspepsia (
D) are not typical signs of an allergic reaction to penicillin G IM. Bradycardia refers to a slow heart rate, pallor is paleness of the skin, and dyspepsia is indigestion. These symptoms are not specific to an allergic reaction and would not be the primary indicators to monitor for in this scenario.