ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Creatinine 2.5 mg/dL. Elevated creatinine levels indicate potential kidney dysfunction, which is crucial when administering tobramycin as it is excreted through the kidneys. High levels can lead to toxicity. Sodium, Hct, and Hgb levels are within normal range and not directly relevant to tobramycin administration. Reporting creatinine ensures safe dosing.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse, 'I do not take this medication. I would prefer a natural therapy.' Which of the following supplements should the nurse suggest the client discuss with the provider?
Correct Answer: D
Rationale: The correct answer is D: Saw palmetto. Saw palmetto is a commonly used herbal remedy for benign prostatic hyperplasia (BPH) symptoms. It has been shown to potentially reduce urinary symptoms and improve quality of life in BPH patients. The nurse should suggest the client discuss saw palmetto with the provider as it may be a suitable alternative to doxazosin.
A: Black cohosh is not typically used for BPH and is more commonly used for menopausal symptoms in women.
B: Garlic does not have a direct link to treating BPH symptoms.
C: Feverfew is primarily used for migraines and inflammatory conditions, not for BPH.
E, F, G: No additional choices provided.
In summary, the other choices are incorrect because they are not commonly associated with treating BPH symptoms, unlike saw palmetto which has some evidence supporting its use in this context.
Question 3 of 5
A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter?
Correct Answer: A
Rationale: The correct answer is A: Nondominant dorsal venous arch. This site is ideal for peripheral IV catheter placement due to its ease of access and lower risk of complications such as nerve damage or infiltration. The dorsal venous arch is a superficial vein that is typically easy to visualize and palpate, making it a safe and effective choice for IV therapy initiation. Choosing the nondominant hand reduces the risk of interference with daily activities. The other choices are incorrect because the dominant hand should be avoided to prevent disruption of daily tasks, the distal dorsal vein is not a recommended site due to higher risk of injury, and the antecubital vein is not ideal for peripheral IV catheter placement due to higher risk of complications and discomfort for the client.
Question 4 of 5
A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: The client has a history of a severe penicillin allergy. This is the priority for the nurse to report to the provider because cefuroxime belongs to the cephalosporin class of antibiotics, which has a cross-reactivity with penicillin.
Therefore, a client with a severe penicillin allergy may also be allergic to cephalosporins like cefuroxime. This information is crucial for the provider to assess the risk of administering cefuroxime to the client and consider alternative antibiotics to avoid a potentially severe allergic reaction.
Choice A: The client has a BUN of 18 mg/dL - This information is not directly related to the prescription of cefuroxime for sinusitis and does not pose an immediate risk to the client's health in this context.
Choice B: The client takes an aspirin daily - While aspirin use is important to consider for potential drug interactions, it is not as
Question 5 of 5
A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer?
Correct Answer: C
Rationale: The correct answer is C: Colesevelam (Welchol). Colesevelam is a bile acid sequestrant used to lower cholesterol levels by binding to bile acids in the intestines, preventing their reabsorption, and promoting their excretion in the feces. This ultimately reduces the total cholesterol levels in the body. Colchicine (
A) is used to treat gout and familial Mediterranean fever, not high cholesterol. Cimetidine (
B) is an H2 blocker used to reduce stomach acid production. Chlorpromazine (
D) is an antipsychotic medication.
Therefore, choices A, B, and D are incorrect for the treatment of high cholesterol.