ATI RN
ATI RN Pharmacology 2019 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-release capsule. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because monitoring blood levels of theophylline is essential due to its narrow therapeutic range. This helps ensure the medication is at a safe and effective level in the body. Option A is incorrect as the sustained-release capsule should not be opened or sprinkled. Option B is incorrect as coffee can interfere with theophylline absorption. Option C is incorrect as adequate fluid intake is important to prevent dehydration and maintain kidney function.
Question 2 of 5
A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
Correct Answer: C
Rationale: The correct answer is C: Hyponatremia. When a client taking lithium starts a new exercise program, they may sweat excessively, leading to increased sodium loss causing hyponatremia. Lithium can also interfere with the body's ability to regulate sodium levels. Hypomagnesemia (
A), hypocalcemia (
B), and hypokalemia (
D) are not directly associated with lithium use or exercise. Sodium levels should be the priority assessment in this scenario.
Question 3 of 5
A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings is a therapeutic effect of naloxone?
Correct Answer: C
Rationale: The correct answer is C: Increased respiratory rate. Naloxone is a medication used to reverse the effects of opioids like morphine. Opioids can suppress respiratory function, leading to decreased breathing rate. By administering naloxone, the nurse can reverse this effect, leading to an increase in the client's respiratory rate, which is a therapeutic effect. Decreased blood pressure and decreased nausea are not direct effects of naloxone but may occur as a result of reversing the opioid effects. Increased pain relief is not a therapeutic effect of naloxone but rather the desired effect of opioids like morphine.
Question 4 of 5
A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Potassium 5.2 mEq/L. Amitriptyline can cause side effects such as electrolyte imbalances, including hyperkalemia. A potassium level of 5.2 mEq/L is elevated and should be reported to the provider for further evaluation and management. The other options, A, B, and C, are within normal ranges and do not typically require immediate reporting. A low WBC count, normal total bilirubin level, and hematocrit of 44% are not directly associated with amitriptyline use and are not concerning in this context.
Question 5 of 5
A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?
Correct Answer: B
Rationale: The correct answer is B: Fever. This indicates an acute infusion reaction to IV amphotericin B. Fever is a common symptom of infusion reactions, signaling an immune response to the medication. Pedal edema is not typically associated with infusion reactions. Dry cough is more indicative of respiratory issues. Hyperglycemia is not directly related to infusion reactions. In summary, fever is the most reliable indicator as it aligns with common symptoms of acute infusion reactions.