ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin?
Correct Answer: C
Rationale: The correct answer is C: Acetaminophen. Acetaminophen is safe to take with enoxaparin as it does not have significant antiplatelet effects or interact with the mechanism of action of enoxaparin. Ibuprofen, Naproxen sodium, and Aspirin are not recommended due to their potential to increase the risk of bleeding when taken with enoxaparin. It is important to avoid medications that can interfere with the blood-thinning effects of enoxaparin. Acetaminophen is the safest option for pain relief in this scenario.
Question 2 of 5
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. Phenytoin can cause hypotension due to its vasodilatory effects. The drug can lead to decreased vascular resistance, resulting in lowered blood pressure. Hypoglycemia (
A) is not a typical adverse effect of phenytoin. Bradycardia (
B) is not a common side effect; phenytoin is more likely to cause cardiac arrhythmias. Red man syndrome (
C) is associated with vancomycin, not phenytoin.
Therefore, the nurse should identify hypotension as the potential adverse effect.
Question 3 of 5
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C because furosemide can cause ototoxicity, leading to hearing difficulties. The nurse should notify the provider immediately to prevent further harm. A: Potassium level within normal range is expected with furosemide. B: Dizziness upon standing is a common side effect of furosemide due to fluid loss and orthostatic hypotension. D: BUN level is within normal range and not a concern in this situation.
Question 4 of 5
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Apply firm pressure to the injection site following administration. This is important to prevent bleeding or bruising as enoxaparin is an anticoagulant. Firm pressure helps to reduce the risk of hematoma formation at the injection site.
Choice B is incorrect as enoxaparin is administered subcutaneously, not into muscle.
Choice C is unnecessary as enoxaparin syringes are usually pre-filled and do not require air bubble removal.
Choice D is incorrect as the needle should be fully inserted for subcutaneous injection.
Choices E, F, and G are irrelevant.
Question 5 of 5
A nurse is caring for a client receiving gentamicin. Which of the following should the nurse monitor the client for?
Correct Answer: C
Rationale: The correct answer is C: Polyuria. When a client is receiving gentamicin, the nurse should monitor for polyuria, which is excessive urination. This is important because gentamicin can cause kidney damage leading to decreased urine output or polyuria. Monitoring urine output can help detect early signs of nephrotoxicity. Prostephobia, Tireibus, and Tathyramda are not related to gentamicin therapy and are not typical side effects.
Therefore, they are incorrect choices.