ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 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: C
Rationale: The correct answer is C: Furosemide and amikacin. Furosemide is a loop diuretic known to cause hearing loss, especially when combined with amikacin, an aminoglycoside antibiotic also associated with ototoxicity. The interaction between these two medications can potentiate the risk of hearing loss. Propranolol, raloxifene, losartan, atorvastatin, digoxin, and levothyroxine are not typically associated with hearing loss as a medication interaction. Monitoring Furosemide and amikacin is crucial to prevent potential auditory complications.
Extract:
Vital Signs Day 1:
Temperature 36.2 0 C (97.20 F) Respiratory rate 18/min
Heart rate 74/min
Blood pressure 1 1 8/68 mm Hg Sp02 96% on room air
Day 7:
Temperature 36.9 0 C (98.40 F) Heart rate 86/min
Respiratory rate 18/min Blood pressure 98/66 mm Hg Sp02 97% on room air
Provider Prescriptions Day 1:
Levodopa 250 mg/Carbidopa 25 mg 1 tablet daily Day
7:
Levodopa 250 mg/Carbidopa 25 mg 2 tablets daily
Question 2 of 5
Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
Correct Answer: A,B,D,E,F
Rationale: The correct statements to include when teaching the client about the prescribed medication are A, B, D, E, and F.
A: Consumption of a high-protein meal can reduce the effectiveness of the medication - Important for optimizing medication efficacy.
B: You can experience vivid nightmares - Warns of potential side effect.
D: The medication can cause nausea, so take with a meal - Helps manage potential side effect.
E: This medication can make you light-headed if you stand up too quickly from a seated or lying position - Warns of potential adverse effect.
F: You may initially notice an increase in involuntary movements - Informs about potential side effect.
These statements cover important aspects such as medication effectiveness, common side effects, how to manage side effects, and potential adverse effects. Other choices are incorrect because they do not address key information related to the medication's effects, side effects, or how to manage them effectively.
Extract:
Question 3 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. In septic shock, hypotension is a common sign of inadequate tissue perfusion. Dopamine is a vasopressor that helps increase blood pressure by constricting blood vessels.
Therefore, if the client is still hypotensive despite receiving dopamine, it indicates that the current infusion rate is not sufficient to maintain adequate perfusion. Increasing the infusion rate can help improve blood pressure and perfusion.
Incorrect choices:
A: Headache - Not a direct indication of dopamine infusion rate adjustment.
C: Chest pain - Not a direct indication of dopamine infusion rate adjustment.
D: Extravasation - Indicates leakage of medication from the IV site, not a need to adjust infusion rate.
Question 4 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Rationale:
Choice D is correct because returning expired medication to the pharmacist ensures proper disposal, preventing environmental harm and misuse.
Choice A is incorrect as it can lead to accidental ingestion.
Choice B is incorrect as it can contaminate water sources.
Choice C is incorrect as it can harm aquatic life.
Question 5 of 5
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: A
Rationale: The correct answer is A: Nalbuphine. The nurse should clarify this prescription because nalbuphine is an opioid analgesic antagonist. Co-administration with morphine, an opioid agonist, can lead to decreased analgesic effects and potential opioid withdrawal symptoms. Acetaminophen (
B) is a non-opioid analgesic and does not interact significantly with morphine. Ondansetron (
C) is an antiemetic commonly used with opioids to prevent nausea and vomiting. Insulin glargine (
D) is a long-acting insulin used to manage diabetes and does not have a direct interaction with morphine.