ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to obtain the client's blood pressure (
Choice
A). This is important because atenolol is a beta-blocker used for high blood pressure, and if the client received it in error, their blood pressure may be affected. Monitoring the blood pressure can help assess the client's current condition and any potential adverse effects from the medication error. Contacting the client's provider (
Choice
B) should be done after assessing the client's condition. Informing the charge nurse (
Choice
C) and completing an incident report (
Choice
D) are important steps but should follow the immediate assessment of the client's condition.
Question 2 of 5
For which of the following adverse effects should the nurse instruct the client taking acetazolamide for chronic open-angle glaucoma to monitor and report?
Correct Answer: A
Rationale: The correct answer is A, tingling of fingers. Acetazolamide is a diuretic that can lead to electrolyte imbalances, such as hypokalemia, causing tingling sensations in the extremities. Constipation (
B) is not a common side effect of acetazolamide. Weight gain (
C) is unlikely as acetazolamide is a diuretic that typically causes fluid loss. Oliguria (
D) is not a typical adverse effect of acetazolamide, as it is more likely to increase urine output.
Question 3 of 5
Which of the following findings should the nurse report to the provider as an adverse effect of gentamicin?
Correct Answer: B
Rationale: The correct answer is B: Tinnitus. Gentamicin is known to cause ototoxicity, which can manifest as tinnitus (ringing in the ears). This adverse effect should be reported to the provider promptly to prevent further damage. Constipation (
A), hypoglycemia (
C), and joint pain (
D) are not typically associated with gentamicin use. Reporting tinnitus is crucial to prevent permanent hearing loss.
Question 4 of 5
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol.Which of the following actions should the nurse take first when discovering a medication error in which atenolol was given instead of allopurinol to a client with gout?
Correct Answer: A
Rationale: The correct action the nurse should take first when discovering the medication error of atenolol instead of allopurinol in a client with gout is to obtain the client's blood pressure. This is because atenolol is a beta-blocker commonly used to treat hypertension, and its administration may lower the client's blood pressure.
Therefore, checking the client's blood pressure is crucial to assess any potential adverse effects of atenolol. Contacting the client's provider (choice
B) can be done after ensuring the client's safety by checking blood pressure. Informing the charge nurse (choice
C) can be the next step to report the error. Completing an incident report (choice
D) is important but should not be the first action as immediate client assessment takes priority.
Question 5 of 5
How many mL/h should the nurse set the IV infusion pump to deliver half the total volume of lactated Ringer's (4,080 mL) in the first 8 hours?
Correct Answer: D
Rationale:
To deliver half of 4,080 mL in 8 hours, first calculate the total volume per hour: 4,080 mL / 8 hours = 510 mL/h. Half of this is 255 mL/h, making choice D the correct answer.
Choices A, B, and C are too low, while choice E is too high, as they do not deliver the required volume in the specified time frame.