ATI RN
ATI RN Pharmacology 2019 II Questions
Extract:
Question 1 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: C
Rationale: The correct answer is C:
Total bilirubin 1.5 mg/dL. Amitriptyline can cause liver toxicity, leading to increased bilirubin levels. The nurse should report this to the provider for further evaluation.
Choices A, B, and D are within normal ranges and not directly related to amitriptyline use.
Choice A reflects hematocrit, B is related to white blood cell count, and D is about potassium levels, which are not typically affected by amitriptyline.
Question 2 of 5
A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C: Osteoporosis. Raloxifene is a medication commonly used to treat and prevent osteoporosis in postmenopausal women. It works by mimicking the effects of estrogen in the body, helping to increase bone density and reduce the risk of fractures. Urinary tract infection (
A), deep-vein thrombosis (
B), and hypothyroidism (
D) are not conditions typically treated with raloxifene. It is important to understand the specific indications for medications to ensure safe and effective patient care.
Question 3 of 5
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. Phenytoin IV bolus can cause hypotension due to its vasodilatory effects. This is because phenytoin can relax smooth muscle in blood vessels, leading to a drop in blood pressure. Red man syndrome (choice
A) is associated with vancomycin, not phenytoin. Hypoglycemia (choice
C) and bradycardia (choice
D) are not common adverse effects of phenytoin.
Question 4 of 5
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C. The nurse should notify the provider if the client reports dizziness upon standing after receiving furosemide because it could indicate orthostatic hypotension, a common side effect of diuretic therapy. This can lead to falls and further complications.
A: BUN 15 mg/dL is within normal range and not a concern.
B: Potassium 3.8 mEq/L is within normal range and not directly related to furosemide administration.
D: Difficulty hearing is not a common side effect of furosemide and may not be related.
Question 5 of 5
A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?
Correct Answer: B
Rationale: The correct answer is B: Potassium 5.3 mEq/L. Triamterene is a potassium-sparing diuretic that can cause hyperkalemia. A potassium level of 5.3 mEq/L is elevated, indicating a potential risk for further potassium accumulation when combined with triamterene.
Therefore, the nurse should withhold the medication to prevent worsening hyperkalemia.
A: BUN 16 mg/dL - Normal range
C: Sodium 142 mEq/L - Normal range
D: Albumin 4 g/dL - Normal range
These values do not indicate a need to withhold triamterene.