ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is preparing to administer warfarin to a client. Which of the following findings indicates a contraindication?
Correct Answer: D
Rationale: The correct answer is D: Decreased vitamin K level. Warfarin is an anticoagulant that works by inhibiting vitamin K-dependent clotting factors. If a client already has a decreased vitamin K level, administering warfarin could further increase the risk of bleeding. A history of artificial heart valve (choice
B) would actually warrant the use of warfarin to prevent clot formation. Blood pressure (choice
A) and heart rate (choice
C) are within normal limits and do not directly contraindicate warfarin administration.
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: C
Rationale: The correct answer is C: Blurred vision. Carbamazepine is known to cause ocular side effects, including blurred or double vision. The nurse should instruct the client to monitor for any changes in vision and report them promptly. Insomnia (
A) is not a common side effect of carbamazepine. Tachypnea (
B) refers to rapid breathing and is not typically associated with this medication. Metallic taste (
D) is not a common adverse effect of carbamazepine.
Question 3 of 5
A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?
Correct Answer: C
Rationale: The correct answer is C: Sildenafil. Nitroglycerin and sildenafil both cause vasodilation, leading to a significant drop in blood pressure. When taken together, there is a high risk of severe hypotension, which can be life-threatening. Gemfibrozil (
A) is a lipid-lowering medication, not contraindicated with nitroglycerin. Diazepam (
B) is a benzodiazepine used for anxiety, not contraindicated. Lansoprazole (
D) is a proton pump inhibitor and does not interact significantly with nitroglycerin.
Question 4 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: The correct answer is C. An incident report is required when there is a deviation from the standard of care that could potentially harm the client. In this scenario, giving insulin 1 hr before scheduled could lead to hypoglycemia, which is a serious risk for the client. The other choices do not pose an immediate threat to the client's safety. Vomiting after medication administration (
A) may be a common side effect. A seizure (
B) can happen even with proper care. A meal tray arriving late (
D) may inconvenience the client but does not pose a significant risk to their health.
Question 5 of 5
A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take when preparing to administer methotrexate in oral tablet form is to apply gloves (
Choice
D). This is because methotrexate is a cytotoxic medication that can be harmful if it comes into contact with the skin. Wearing gloves helps to protect the nurse from potential exposure to the medication. Donning a protective gown (
Choice
A) is not necessary for oral administration. Handling in an area with controlled ventilation (
Choice
B) is more applicable to handling hazardous substances in liquid or powder form. Wearing an N95 mask (
Choice
C) is not necessary for oral administration of methotrexate, as it is not an airborne hazard.