ATI RN
ATI Pharmacology Assessment 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medications to a client who has type 1 diabetes mellitus. The client takes lispro insulin and has a new prescription for pramlintide. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Monitor for hypoglycemia for 3 hr after pramlintide administration. Pramlintide is an amylin analog that can lower blood glucose levels and increase the risk of hypoglycemia. Monitoring for hypoglycemia for 3 hours after administration ensures prompt identification and intervention if needed. Option A is incorrect as pramlintide is not known to cause weight gain. Option C is incorrect as pramlintide should be injected subcutaneously into the thigh or abdomen, not the upper arm. Option D is incorrect as pramlintide should be administered immediately before a meal, not 30 minutes prior.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for allopurinol to treat gout. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Increase your fluid intake. Allopurinol can increase the risk of kidney stones, so it is important to stay well-hydrated to help prevent this complication. Increasing fluid intake helps to maintain urine output and prevent the build-up of uric acid crystals in the kidneys.
Therefore, this instruction is crucial in managing potential side effects of allopurinol.
Explanation for Incorrect
Choices:
A: Expecting to experience a harmless rash while taking allopurinol is not a correct instruction. While rash is a common side effect of allopurinol, it should be reported to the healthcare provider.
C: Increasing dietary fiber intake to prevent constipation is not directly related to allopurinol therapy.
D: Taking one dose every hour until the pain subsides is not a correct instruction and can lead to overdose or other serious complications.
Question 3 of 5
A nurse is caring for a client who has a prescription for metoclopramide. Which of the following outcomes should the nurse use to evaluate the effectiveness of this medication?
Correct Answer: C
Rationale: The correct answer is C: Reduced nausea. Metoclopramide is a medication commonly used to treat nausea and vomiting by increasing the movement of the stomach and intestines.
Therefore, the nurse should evaluate the effectiveness of metoclopramide based on the reduction of nausea symptoms in the client.
Choices A, B, and D are incorrect because metoclopramide does not target cough suppression, muscle relaxation, or pain relief as its primary mechanism of action. The focus should be on the expected outcome directly related to the medication's purpose, which is the reduction of nausea.
Question 4 of 5
A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity?
Correct Answer: A
Rationale: The correct answer is A: Vomiting. Digoxin toxicity can lead to gastrointestinal symptoms such as nausea, vomiting, and anorexia. Vomiting is a common early sign of digoxin toxicity and should be reported to the provider promptly. Dilated pupils (
B) are not typically associated with digoxin toxicity. Bruising (
C) and peripheral edema (
D) are not specific manifestations of digoxin toxicity. It's important to monitor for other signs of toxicity such as vision changes, confusion, and cardiac arrhythmias.
Question 5 of 5
A nurse is caring for a client who is receiving an IV infusion of heparin. Which of the following findings should indicate to the nurse the client is at risk for hemorrhage? (Select all that apply.)
Correct Answer: A,F
Rationale:
Correct
Answer: A, F
Rationale: Thrombocytopenia (
A) indicates low platelet count, increasing risk of bleeding. Dark stools (F) may indicate gastrointestinal bleeding, a sign of hemorrhage. Neutropenia (
B) is low neutrophil count related to infection, not hemorrhage. Hypokalemia (
C), fever (
D), and hyperglycemia (E) are not directly related to hemorrhage risk.