ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Consulting a drug reference guide is essential to gather information on potential food and medication interactions.
2. Drug reference guides provide comprehensive and up-to-date information on drug interactions.
3. It is a reliable source to ensure the safety and effectiveness of medication administration.
4. This proactive approach demonstrates thorough research and professional responsibility.
Incorrect
Choices:
A: Having the client take the medication on an empty stomach may not always be the appropriate action and could lead to adverse effects.
C: Relying on another nurse's knowledge may not guarantee accurate information on all potential interactions.
D: Checking the client's medical record may provide some information, but a drug reference guide offers more extensive details on interactions.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Blurred vision. Carbamazepine is known to cause ocular side effects, including blurred vision. The rationale is that carbamazuepine can lead to changes in the eye's ability to focus, causing blurred vision as a common adverse effect. This is important for the client to monitor because it can impact their daily activities and driving. The other choices, B: Insomnia, C: Metallic taste, and D: Tachypnea, are not typically associated with carbamazepine use. Insomnia is more commonly seen with stimulant medications, metallic taste is associated with certain antibiotics, and tachypnea is not a common side effect of carbamazepine.
Therefore, the correct answer is A because it directly relates to the medication's known adverse effects.
Question 3 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?
Correct Answer: A
Rationale: The correct answer is A: Taking a high-ceiling diuretic. High-ceiling diuretics, like furosemide, can lead to hypokalemia by increasing potassium excretion, which can potentiate the risk of digoxin toxicity as digoxin competes with potassium for binding sites on the myocardial cell membrane.
Therefore, when a client is taking digoxin along with a high-ceiling diuretic, the risk of digoxin toxicity increases. The other choices, B, C, and D, do not directly predispose the client to digoxin toxicity. HMG COA reductase inhibitors are used to lower cholesterol levels and do not interact with digoxin. COPD and a prolapsed mitral valve are unrelated to the risk of digoxin toxicity.
Question 4 of 5
A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the ondansetron is effective?
Correct Answer: A
Rationale: The correct answer is A: Decreased nausea. Ondansetron is an antiemetic medication used to treat nausea and vomiting.
Therefore, a decrease in nausea indicates that the medication is effective in managing the client's symptoms. Reduced dizziness (
B) and absence of peripheral neuropathy (
D) are not directly related to the action of ondansetron. Increased urinary output (
C) is not a typical effect of ondansetron.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D. Rifampin can cause a harmless side effect of turning urine, saliva, sweat, and tears orange. This is important for the client to be aware of to prevent unnecessary worry or concern.
Choice A is incorrect because rifampin can reduce the effectiveness of oral contraceptives.
Choice B is incorrect as rifampin is usually taken on an empty stomach.
Choice C is incorrect as wearing soft contact lenses is not recommended due to the potential for discoloration.