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 sugar levels and increase the risk of hypoglycemia, especially when used in combination with insulin like lispro. The nurse should closely monitor the client for hypoglycemia for at least 3 hours after administering pramlintide to ensure prompt recognition and intervention if needed. This is crucial for the client's safety and well-being.
Choice A is incorrect because pramlintide is not associated with weight gain.
Choice C is incorrect as there is no specific recommendation to inject pramlintide in the upper arm.
Choice D is incorrect because pramlintide should be administered just before meals, not 30 minutes prior.
Question 2 of 5
A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Increased urinary output. Bumetanide is a loop diuretic that works by inhibiting sodium and chloride reabsorption in the ascending loop of Henle, leading to increased urinary output. This helps reduce fluid retention in conditions like ascites.
Choice A is incorrect as bumetanide actually increases the excretion of urine sodium.
Choice C is incorrect as bumetanide does not affect serum glucose levels.
Choice D is incorrect as bumetanide typically decreases blood pressure due to its diuretic effect.
Question 3 of 5
A nurse is reviewing the laboratory findings for a female client who is taking zidovudine to treat HIV. Which of the following should the nurse identify as an adverse finding associated with this medication?
Correct Answer: A
Rationale: The correct answer is A: Neutrophil count 650/mm³ (2,500 to 8,000/mm³). Zidovudine can cause bone marrow suppression, leading to decreased neutrophil counts. Neutropenia increases the risk of infections. Platelets within the normal range (choice
B) are not typically affected by zidovudine. High Hgb levels (choice
C) may indicate dehydration or polycythemia but are not directly related to zidovudine. Creatinine levels (choice
D) are markers of kidney function and are not typically affected by zidovudine.
Question 4 of 5
A nurse is caring for a client following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,C,D,F
Rationale: The correct actions for a nurse caring for a client post-bronchoscopy with moderate sedation are A, B, C, D, and F. Firstly, assessing the client's gag reflex (
A) is essential to prevent aspiration post-procedure. Listening to breath sounds (
B) helps in detecting any respiratory complications. Monitoring oxygen saturation (
C) ensures adequate oxygenation. Monitoring for bleeding manifestations (
D) is crucial to detect and address any hemorrhage promptly. Lastly, observing for signs of a pneumothorax (F) is necessary as it could be a complication of the procedure.
Choices E and G are incorrect as assessing the puncture site (E) is not a standard post-bronchoscopy care practice, and G is an incomplete option.
Question 5 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: The correct answer is C: "I am allergic to atropine." This statement should be reported to the provider because ipratropium is a derivative of atropine, which can trigger an allergic reaction in individuals allergic to atropine. Reporting this information is crucial to prevent any potential adverse reactions.
Incorrect choices:
A: This statement is relevant but not as urgent to report compared to a known allergy to atropine.
B: It is important to educate the client on proper inhaler use, and using albuterol as needed may still be necessary.
D: Drinking red wine does not directly impact the use of the ipratropium inhaler for exercise-induced bronchospasm.