ATI RN
ATI Pharmacology Assessment 1 Questions
Extract:
Question 1 of 5
A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.
| Options | indicated | contraindicated |
|---|---|---|
| It is expected for your stools to be black while taking this medication | ||
| Take this medication with an antacid if you experience heartburn from the medication | ||
| Drinking orange juice with this medication decreases the absorption of the medication | ||
| You can take this medication with meals if you experience discomfort when taking on an empty stomach |
Correct Answer: A,B,C,D
Rationale: Black stools can indicate gastrointestinal bleeding and should be reported. Antacids can interfere with absorption. Orange juice can decrease absorption of some medications. Taking with meals can reduce discomfort.
Question 2 of 5
A nurse is caring for a client in the emergency department. The client is at risk for developing which of the following conditions?
Correct Answer: E
Rationale: Hypoglycemia is a common risk in the emergency department, especially in patients with diabetes or those who have not eaten for an extended period.
Question 3 of 5
A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider?
Correct Answer: C
Rationale: An allergy to atropine is significant because ipratropium is chemically related to atropine, which could lead to a severe allergic reaction.
Question 4 of 5
A nurse is caring for a client who refuses a prescribed influenza immunization. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Asking the client to describe their concerns allows the nurse to understand the client's perspective and address any misconceptions or fears they may have about the influenza immunization.
Extract:
A nurse is caring for a 65-year-old male client in a cardiac clinic. The client was recently discharged from an acute hospital stay for worsening heart failure. Below are the exhibits related to the client’s condition:
Exhibit 1: Nurses’ Notes 2 Weeks Ago
The client was admitted to the hospital two weeks ago with worsening heart failure. He was experiencing significant shortness of breath, fatigue, and 2+ edema on bilateral lower extremities. Upon auscultation, an S3 heart sound was noted, and occasional expiratory wheezing was present. The client was managed with furosemide, captopril, and metoprolol at home, but these medications were not sufficient to control his symptoms.
Exhibit 2: Nurses’ Notes Today
The client reports some improvement in shortness of breath with exertion but continues to feel fatigued. Upon auscultation, an S3 heart sound is still noted, and lung sounds are clear. The client has 1+ edema on the ankles and reports nausea, constipation, and blurred vision.
Exhibit 3: History and Physical
The client was discharged from the hospital two days ago after being treated for worsening heart failure. During the hospitalization, he was prescribed digoxin and a potassium supplement in addition to his existing medications. The client will return to the office in two weeks to review lab work and medication management.
Exhibit 4: Laboratory Results Today
Digoxin: 2.2 ng/mL (0.8 to 2 ng/mL)
Potassium: 4.8 mEq/L (3.5 to 5 mEq/L)
Exhibit 5: Vital Signs Today
Temperature: 36.8°C (98.2°F)
Heart rate: 55/min
Respiratory rate: 16/min
Blood pressure: 110/80 mm Hg
Oxygen saturation: 96% on room air
Question 5 of 5
Click to highlight the findings that indicate the client may be experiencing digoxin toxicity. To deselect a finding, click on the finding again.
| Digoxin: 2.2 ng/mL |
| Heart rate: 55/min |
| Nausea |
| Blurred vision |
Correct Answer: A,B,C,D
Rationale: Digoxin level above therapeutic range, bradycardia, nausea, and blurred vision are consistent with digoxin toxicity.