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: Monitoring for hypoglycemia for 3 hours after pramlintide administration is crucial. Pramlintide can increase the risk of insulin-induced hypoglycemia.
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 2 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.
Extract:
Question 3 of 5
A nurse is caring for a client who requires a transfusion of one unit of packed RBCs. The nurse receives the following prescription: “Diphenhydramine 50 mg by mouth once, one hour prior to transfusion.â€. The nurse should identify this as which of the following types of prescription?
Correct Answer: C
Rationale: A single prescription is a one-time order for a specific medication to be given at a specific time. In this case, diphenhydramine 50 mg by mouth once, one hour prior to transfusion, fits the definition of a single prescription.
Question 4 of 5
A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication?
Correct Answer: B
Rationale: Creatinine levels should be monitored as gentamicin can cause nephrotoxicity, leading to impaired kidney function.
Question 5 of 5
A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy?
Correct Answer: D
Rationale: Losartan is an angiotensin II receptor blocker (AR
B) that helps manage hypertension and has been shown to slow the progression of nephropathy in patients with type 2 diabetes.