ATI RN
ATI Pharmacology 2023 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 a nitroprusside infusion, monitoring blood pressure is crucial as nitroprusside is a potent vasodilator that can cause hypotension. By adjusting the infusion rate based on blood pressure readings, the nurse can prevent hypotension or hypertension. Monitoring stroke volume, cardiac output, or urine output is not specific to nitroprusside titration and may not reflect the immediate effects of the medication on blood pressure. Blood pressure is the most direct indicator of the medication's hemodynamic effects and guides titration to maintain optimal perfusion pressure.
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 hearing loss, especially when combined with amikacin, an aminoglycoside antibiotic also associated with ototoxicity. The interaction between these two medications can potentiate the risk of hearing loss. Propranolol, raloxifene, losartan, atorvastatin, digoxin, and levothyroxine are not typically associated with hearing loss as a medication interaction. Monitoring Furosemide and amikacin is crucial to prevent potential auditory complications.
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 can cause oral irritation, so rinsing the mouth is necessary.
E. "I should take this medication with orange juice." - Incorrect. Taking medication with specific juices can affect absorption. It is not recommended to take this medication with orange juice.
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 for optimizing medication efficacy.
B: You can experience vivid nightmares - Warns of potential side effect.
D: The medication can cause nausea, so take with a meal - Helps manage potential side effect.
E: This medication can make you light-headed if you stand up too quickly from a seated or lying position - Warns of potential adverse effect.
F: You may initially notice an increase in involuntary movements - Informs about potential side effect.
These statements cover important aspects such as medication effectiveness, common side effects, how to manage side effects, and potential adverse effects. Other choices are incorrect because they do not address key information related to the medication's effects, side effects, or how to manage them effectively.
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). Prothrombin Time measures the extrinsic pathway of the coagulation cascade, which is directly affected by warfarin. By reviewing the PT, the nurse can assess the client's clotting time and ensure that the warfarin dose is appropriate.
Total iron-binding capacity (
B) is not relevant to warfarin administration. White blood cell count (
C) assesses immune function, not clotting factors affected by warfarin. Partial Thromboplastin Time (
D) measures the intrinsic pathway of coagulation, not directly affected by warfarin.