ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who received a local injection of lidocaine. Which of the following responses should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Client reports of numbness in the area. Lidocaine is a local anesthetic that blocks nerve impulses, resulting in numbness in the area where it was injected. This is an expected response as it indicates the medication is working as intended. Ventricular fibrillation (
A) is a serious cardiac arrhythmia unrelated to local lidocaine injection. Tachycardia (
B) is an increased heart rate and not a typical response to lidocaine. Client reports of increased pain in the area (
C) would be unexpected and might indicate a problem with the injection or the medication.
Question 2 of 5
A nurse is educating a client who has a new prescription for digoxin. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Check your heart rate 1 hour after taking the medication. This statement is important as digoxin can affect heart rate, and monitoring it helps assess for potential toxicity. Option A is incorrect because taking a missed dose could lead to overdose. Option B is unrelated to digoxin therapy. Option D is incorrect as visual changes are not an expected side effect of digoxin. It is crucial for nurses to prioritize patient safety by providing accurate and relevant information.
Question 3 of 5
A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?
Correct Answer: C
Rationale: The correct answer is C: Hypertension. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with tyramine in aged cheese, leading to hypertensive crisis. Tyramine can displace norepinephrine, causing a sudden increase in blood pressure. Diarrhea (
A) and somnolence (
B) are not commonly associated with this interaction. Bradycardia (
D) is more commonly associated with other medications like beta-blockers.
Question 4 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: A
Rationale: The correct answer is A: Furosemide and amikacin. Furosemide is a loop diuretic known to cause hearing loss, especially when used in combination with aminoglycosides like amikacin. Aminoglycosides can potentiate the ototoxic effects of loop diuretics, leading to hearing loss. Propranolol and raloxifene (
B), Digoxin and levothyroxine (
C), and Losartan and atorvastatin (
D) do not have known interactions leading to hearing loss. Monitoring Furosemide and amikacin combination is crucial to prevent adverse effects.
Question 5 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the air bubble remains in the syringe. This is important because enoxaparin is an anticoagulant medication and should be injected without removing the air bubble to ensure the full dose is administered.
Choice A is incorrect as enoxaparin should be injected into the abdomen, not the lateral thigh.
Choice B is incorrect because the skin fold should be held during the injection to ensure proper administration.
Choice D is incorrect as rubbing the site after injection can cause bruising or irritation.