ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer?
Correct Answer: C
Rationale: The correct answer is C: Colesevelam (Welchol). Colesevelam is a bile acid sequestrant used to lower cholesterol levels by binding to bile acids in the intestines, preventing their reabsorption, and promoting their excretion in the feces. This ultimately reduces the total cholesterol levels in the body. Colchicine (
A) is used to treat gout and familial Mediterranean fever, not high cholesterol. Cimetidine (
B) is an H2 blocker used to reduce stomach acid production. Chlorpromazine (
D) is an antipsychotic medication.
Therefore, choices A, B, and D are incorrect for the treatment of high cholesterol.
Question 2 of 5
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. Phenytoin can cause hypotension due to its vasodilatory effects. The drug can lead to decreased vascular resistance, resulting in lowered blood pressure. Hypoglycemia (
A) is not a typical adverse effect of phenytoin. Bradycardia (
B) is not a common side effect; phenytoin is more likely to cause cardiac arrhythmias. Red man syndrome (
C) is associated with vancomycin, not phenytoin.
Therefore, the nurse should identify hypotension as the potential adverse effect.
Question 3 of 5
A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?
Correct Answer: A
Rationale: The correct answer is A: Osteoporosis. Raloxifene is a medication used to prevent and treat osteoporosis in postmenopausal women by increasing bone mineral density and reducing the risk of fractures. It is a selective estrogen receptor modulator. The other choices (B, C, D, E, F, G) are incorrect because raloxifene is not indicated for hypothyroidism, urinary tract infection, or any other condition besides osteoporosis. It is important for the nurse to understand the specific indications and mechanisms of action of medications to ensure safe and effective patient care.
Question 4 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following predisposes this client to developing digoxin toxicity?
Correct Answer: A
Rationale: The correct answer is A. Taking a high ceiling diuretic predisposes the client to digoxin toxicity because diuretics can cause hypokalemia, which increases the risk of digoxin toxicity. Digoxin toxicity is more likely in patients with low potassium levels.
Choice B (COPD history), C (prolapsed mitral valve), and D (HMG CoA reductase inhibitor) are incorrect as they do not directly impact digoxin toxicity risk through potassium levels.
Question 5 of 5
A nurse is receiving a medication prescription by telephone from a provider. The provider states, 'Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.' How should the nurse transcribe the prescription in the client's medical record?
Correct Answer: A
Rationale: The correct answer is A: Morphine 6 mg IV push every 3 hr PRN acute pain. This transcription accurately reflects the provider's order by specifying the medication (morphine), dose (6 mg), route (IV push), frequency (every 3 hours), and indication (acute pain). Each element is essential for safe administration and documentation.
Option B (MSO) and Option C (MS) are incorrect because they do not specify morphine. Option D includes unnecessary decimal points, which could lead to dosing errors.
In summary, option A is the correct transcription as it accurately captures all the necessary details of the provider's order for safe medication administration.