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 clozapine. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct statement to include in the teaching is C: "Notify your provider if you develop a fever while taking this medication." This is important because clozapine can cause a serious condition called agranulocytosis, which is characterized by a decrease in white blood cells and can lead to severe infections. Developing a fever can be an early sign of this condition, so it is crucial for the client to notify their provider immediately.
Choice A (Diarrhea) is incorrect as diarrhea is not a common adverse effect of clozapine.
Choice B (Ringing in the ears) is incorrect as this is not an expected adverse effect of clozapine.
Choice D (Weight loss) is incorrect as weight gain is actually more common with clozapine due to its effects on appetite and metabolism.
In summary, the correct answer (
C) is crucial for monitoring potential serious side effects of clozapine, while the other choices are incorrect as they do not align with the common adverse
Question 2 of 5
A nurse is assessing a client who is taking haloperidol and is experiencing pseudoparkinsonism. Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism?
Correct Answer: B
Rationale: The correct answer is B: Shuffling gait. Pseudoparkinsonism is a side effect of antipsychotic medications like haloperidol, characterized by symptoms similar to Parkinson's disease. A shuffling gait is a common manifestation, caused by muscle stiffness and rigidity in the legs. Serpentine limb movement (
A) is not associated with pseudoparkinsonism. Nonreactive pupils (
C) are more indicative of a neurological issue. Smacking lips (
D) is a sign of tardive dyskinesia, another side effect of antipsychotic medications.
Question 3 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 4 of 5
A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Check the client's glucose level. Metformin is a medication used to treat diabetes, so administering it instead of metoprolol, a beta-blocker, can lead to hypoglycemia (low blood sugar). Checking the client's glucose level is crucial to assess if the client is experiencing hypoglycemia and to take appropriate action. Monitoring thyroid function levels (
A), collecting uric acid levels (
B), and obtaining HDL levels (
C) are not relevant in this situation and would not provide immediate information on the client's condition. Checking the glucose level is the priority to address the potential adverse effects of administering the wrong medication.
Question 5 of 5
A nurse is receiving a medication prescription by telephone from a provider. The provider states, 'Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.' How should the nurse transcribe the prescription in the client's medical record?
Correct Answer: A
Rationale: The correct answer is A: Morphine 6 mg IV push every 3 hr PRN acute pain. This transcription accurately reflects the provider's order by specifying the medication (morphine), dose (6 mg), route (IV push), frequency (every 3 hours), and indication (acute pain). Each element is essential for safe administration and documentation.
Option B (MSO) and Option C (MS) are incorrect because they do not specify morphine. Option D includes unnecessary decimal points, which could lead to dosing errors.
In summary, option A is the correct transcription as it accurately captures all the necessary details of the provider's order for safe medication administration.