ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. When titrating nitroprusside infusion, blood pressure is the most critical assessment parameter as nitroprusside is a vasodilator that directly affects blood pressure. Monitoring blood pressure closely allows for immediate adjustments to maintain the desired therapeutic effect without causing hypotension or other adverse effects. Stroke volume, cardiac output, and urine output are important assessments in general cardiac care but are not specific to titrating nitroprusside infusion. Monitoring these parameters alone may not provide sufficient information to adjust the infusion accurately.
Question 2 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: C
Rationale: The correct answer is C: Furosemide and amikacin. Furosemide is a loop diuretic known to cause ototoxicity, including hearing loss. Amikacin is an aminoglycoside antibiotic also associated with ototoxicity. When combined, they can potentiate each other's ototoxic effects, increasing the risk of hearing loss. Monitoring for any signs of hearing impairment is crucial.
Incorrect choices:
A: Propranolol and raloxifene - These medications are not known to cause hearing loss.
B: Losartan and atorvastatin - These medications are not associated with hearing loss.
D: Digoxin and levothyroxine - These medications are not typically linked to hearing loss.
Extract:
Nurses' Notes
Laboratory Results
0900:
The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year.
Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn.
A nurse is caring for a female client in a provider's office.
Question 3 of 5
For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided. Options: A. 'If I experience black stools, I should notify my provider.' B. 'I should avoid taking antacids while on this medication.' C. 'I should take my medications on an empty stomach.' D. 'I should rinse my mouth after taking this medication.' E. 'I should take this medication with orange juice.'
Correct Answer: B,D,E
Rationale:
Correct
Answer: B, D, E
Explanation:
B. 'I should avoid taking antacids while on this medication.' - Correct. Antacids can interfere with the absorption of certain medications.
D. 'I should rinse my mouth after taking this medication.' - Correct. Some medications may cause oral irritation or taste disturbances.
E. 'I should take this medication with orange juice.' - Incorrect. Unless specified by the provider, it's generally advised to avoid taking medications with citrus juices as they can interact with the medication.
Summary:
A. 'If I experience black stools, I should notify my provider.' - This indicates understanding as black stools can be a sign of gastrointestinal bleeding.
C. 'I should take my medications on an empty stomach.' - This is incorrect for some medications that require food.
E. 'I should take this medication with orange juice.' - Incorrect due to potential interactions.
Extract:
Vital Signs Day 1:
Temperature 36.2 0 C (97.20 F) Respiratory rate 18/min
Heart rate 74/min
Blood pressure 1 1 8/68 mm Hg Sp02 96% on room air
Day 7:
Temperature 36.9 0 C (98.40 F) Heart rate 86/min
Respiratory rate 18/min Blood pressure 98/66 mm Hg Sp02 97% on room air
Provider Prescriptions Day 1:
Levodopa 250 mg/Carbidopa 25 mg 1 tablet daily Day
7:
Levodopa 250 mg/Carbidopa 25 mg 2 tablets daily
Question 4 of 5
Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
Correct Answer: A,B,D,E,F
Rationale: The correct statements to include when teaching the client about the prescribed medication are A, B, D, E, and F.
A: Consumption of a high-protein meal can reduce the effectiveness of the medication - Important to ensure medication efficacy.
B: You can experience vivid nightmares - Alerts the client to a potential side effect.
D: The medication can cause nausea, so take with a meal - Helps manage a common side effect.
E: This medication can make you light-headed if you stand up too quickly from a seated or lying position - Warns about potential orthostatic hypotension.
F: You may initially notice an increase in involuntary movements - Indicates a possible side effect to monitor.
These statements were selected for their relevance in preparing the client for potential side effects, interactions, and necessary precautions while taking the medication.
Extract:
Question 5 of 5
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?
Correct Answer: A
Rationale: The correct answer is A: PT (Prothrombin Time). PT is used to monitor warfarin therapy as it measures the extrinsic pathway of the clotting process, which warfarin affects. Monitoring PT helps ensure the client is within the therapeutic range to prevent bleeding or clotting complications.
Total iron-binding capacity (
B) is unrelated to warfarin therapy. WBC (
C) is a white blood cell count, not relevant for warfarin monitoring. PTT (
D) is used to monitor heparin therapy, not warfarin.