ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is reviewing a provider's prescriptions for medications. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: D
Rationale: The nurse should clarify the prescription for Lisinopril 5.0 mg PO once daily with the provider because this medication is typically prescribed once daily for hypertension, but the dosage of 5.0 mg is unusually low. The standard starting dose for Lisinopril is usually 10 mg daily. Clarification is needed to ensure the dosage is appropriate for the patient's condition.
Choice A, B, and C are all standard prescriptions for Insulin glargine, Timolol, and Spironolactone respectively, with appropriate dosages and administration frequencies.
Question 2 of 5
A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Bradycardia. Amiodarone is an antiarrhythmic medication that can cause bradycardia as an adverse effect due to its action of prolonging the cardiac action potential. This can lead to a slower heart rate. Hypertension (
A) is not a common adverse effect of amiodarone. Fever (
B) is not typically associated with amiodarone use. Bradypnea (
C) refers to slow breathing rate, which is not a common adverse effect of amiodarone. In summary, bradycardia is the most likely adverse effect of amiodarone, while the other options are less likely based on the pharmacological actions of the medication.
Question 3 of 5
A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "I will discuss other treatment options with your provider." This is the best choice because it acknowledges the client's fear of needles and shows empathy. It also demonstrates a willingness to explore alternative treatment options that may be more acceptable to the client. By involving the provider in the discussion, the nurse ensures that the client's health needs are still being addressed effectively.
Choice A is incorrect because it may come off as dismissive and may not address the client's fear.
Choice B is incorrect because there may be other treatment options available, and it is important to explore them before stating there is no other option.
Choice D is incorrect because it does not address the client's fear of needles.
Question 4 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B: Breath sounds. The nurse should assess breath sounds first after administering naloxone to a client experiencing opioid toxicity because naloxone can cause sudden opioid withdrawal, leading to respiratory depression or potentially respiratory arrest. Monitoring breath sounds allows the nurse to quickly identify any signs of respiratory distress and intervene promptly. Assessing pain level (
A), heart rate (
C), or blood pressure (
D) is important but assessing breath sounds takes precedence in this situation to ensure the client's airway is clear and respiratory status is stable.
Question 5 of 5
A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the ondansetron is effective?
Correct Answer: C
Rationale: The correct answer is C: Decreased nausea. Ondansetron is an antiemetic medication commonly used to treat nausea and vomiting.
Therefore, a decrease in nausea indicates that the ondansetron is effective in managing the client's symptoms. Peripheral neuropathy (
A), dizziness (
B), and increased urinary output (
D) are not directly related to the expected therapeutic effect of ondansetron. Peripheral neuropathy and dizziness are not common side effects of ondansetron, and increased urinary output is not a typical indicator of its effectiveness in treating nausea.