ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
Correct Answer: D
Rationale: The correct answer is D: WBC count. Filgrastim is a medication that stimulates the production of white blood cells (WBCs). Monitoring the WBC count is essential to evaluate the effectiveness of the treatment as an increase in WBC count indicates that the medication is working to boost the immune system.
A: Potassium level is not directly related to filgrastim therapy.
B: BUN (blood urea nitrogen) is not typically affected by filgrastim.
C: INR (International Normalized Ratio) is a measure of blood clotting and is not relevant to monitoring filgrastim therapy.
Therefore, the correct choice is D as it directly reflects the intended therapeutic effect of filgrastim.
Extract:
Nurses' Notes
Laboratory Results
0900:
The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year.
Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn.
A nurse is caring for a female client in a provider's office.
Question 2 of 5
For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided. Options: A. 'If I experience black stools, I should notify my provider.' B. 'I should avoid taking antacids while on this medication.' C. 'I should take my medications on an empty stomach.' D. 'I should rinse my mouth after taking this medication.' E. 'I should take this medication with orange juice.'
Correct Answer: B,D,E
Rationale:
Correct Answer: B, D, E
Explanation:
B. "I should avoid taking antacids while on this medication." - Correct. Antacids can interfere with the absorption of certain medications.
D. "I should rinse my mouth after taking this medication." - Correct. Some medications can cause oral irritation, so rinsing the mouth is necessary.
E. "I should take this medication with orange juice." - Incorrect. Taking medication with specific juices can affect absorption. It is not recommended to take this medication with orange juice.
Extract:
Question 3 of 5
A nurse is caring for a client who started haloperidol five days ago and is experiencing neuroleptic malignant syndrome. Which of the following prescriptions should the nurse anticipate administering?
Correct Answer: C
Rationale:
Rationale: The correct answer is C: Bromocriptine. Bromocriptine is a dopamine agonist that can help in the treatment of neuroleptic malignant syndrome (NMS) by reducing dopamine levels in the brain. NMS is characterized by hyperthermia, muscle rigidity, altered mental status, and autonomic dysfunction. Bromocriptine helps counteract the excessive dopamine levels that contribute to NMS symptoms.
Summary of other choices:
A: Benztropine is an anticholinergic medication used to treat extrapyramidal symptoms but not NMS.
B: Naloxone is an opioid receptor antagonist used to reverse opioid overdose, not indicated for NMS.
D: Diphenhydramine is an antihistamine used for allergic reactions and sedation, not for NMS treatment.
Question 4 of 5
A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D: Respiratory rate 10/min. A decreased respiratory rate is indicative of respiratory depression, a serious adverse reaction to morphine. Morphine is a central nervous system depressant that can slow down the respiratory drive, leading to hypoventilation and potentially respiratory arrest. In contrast, choices A, B, and C are within normal limits and not specific to morphine adverse effects. A high blood pressure may be seen with pain or anxiety, while a normal temperature and heart rate are not typically affected by morphine.
Therefore, the respiratory rate is the most critical vital sign to monitor for adverse reactions to IV morphine.
Question 5 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Consulting a drug reference guide is essential to gather information on potential food and medication interactions.
2. Drug reference guides provide comprehensive and up-to-date information on drug interactions.
3. It is a reliable source to ensure the safety and effectiveness of medication administration.
4. This proactive approach demonstrates thorough research and professional responsibility.
Incorrect
Choices:
A: Having the client take the medication on an empty stomach may not always be the appropriate action and could lead to adverse effects.
C: Relying on another nurse's knowledge may not guarantee accurate information on all potential interactions.
D: Checking the client's medical record may provide some information, but a drug reference guide offers more extensive details on interactions.