ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to transcribe a prescription for a client that reads 'ondansetron 8 mg by mouth every 12 hr PRN.' Which of the following parts of the prescription should the nurse clarify with the provider?
Correct Answer: D
Rationale: The correct answer is D: Reason. The nurse should clarify the reason for the prescription with the provider because it is important to understand the underlying condition or symptoms the medication is intended to treat. This information helps ensure the appropriateness of the prescription and aids in monitoring the client's response to the medication. Clarifying the dose (
A), route (
B), and frequency (
C) are essential but the reason (
D) behind the prescription is crucial for safe and effective medication administration.
Choices E, F, and G are not applicable in this scenario.
Question 2 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?
Correct Answer: B
Rationale: The correct answer is B: Calcium. Levothyroxine should be taken on an empty stomach to ensure optimal absorption. Calcium can interfere with the absorption of levothyroxine, so it is recommended to wait at least 4 hours after taking levothyroxine before consuming calcium supplements. Ginkgo biloba, Vitamin C, and Zinc do not significantly interfere with levothyroxine absorption, so there is no need to wait specifically for them. Calcium is the correct choice because of its known interference with levothyroxine absorption.
Question 3 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Identify the client using two identifiers. This is the first step the nurse should take to ensure the right client receives the medication. By confirming the client's identity with two identifiers, such as name and date of birth, the nurse minimizes the risk of medication errors. Removing the medication from the cabinet (
A) should come after confirming the client's identity. Comparing medication amounts (
C) and documenting administration (
D) are important steps but should follow client identification to prioritize patient safety.
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 because administering insulin 1 hr before scheduled time can have serious consequences on the client's blood sugar levels. Incident reports are required for any unexpected or adverse events that occur during client care.
Choices A and B are expected outcomes that do not necessarily require incident reports.
Choice D, receiving a meal tray late, is a minor issue that does not pose immediate harm to the client.
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 5 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.