ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: A
Rationale: The correct answer is A: Nalbuphine. Nalbuphine is a mixed opioid agonist-antagonist and may antagonize the effects of morphine, leading to decreased pain relief. The nurse should clarify this prescription with the provider to avoid potential interference with the effectiveness of morphine.
Summary of other choices:
B: Acetaminophen - Safe to administer with morphine for pain management.
C: Ondansetron - Used for nausea and vomiting, does not directly interact with morphine.
D: Insulin glargine - Used for diabetes management, does not interact with morphine.
Question 2 of 5
A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: Decreased wheezing. Theophylline is a bronchodilator used to treat respiratory conditions like asthma or COPD by relaxing the muscles in the airways, reducing wheezing. Decreased wheezing indicates improved airflow and lung function, demonstrating the medication's effectiveness. Increased blood pressure (
A) is not a common effect of theophylline and may indicate a potential adverse reaction. Decreased urine output (
C) is not a typical indicator of theophylline effectiveness and could signify dehydration or kidney issues. Increased level of consciousness (
D) is not directly related to theophylline's action on the respiratory system.
Question 3 of 5
A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with tyramine-rich foods like aged cheese, leading to a hypertensive crisis. Tyramine in aged cheese can displace norepinephrine from nerve terminals, causing a sudden increase in blood pressure.
A: Somnolence is a common side effect of phenelzine but is not directly related to the interaction with aged cheese.
B: Diarrhea is not a typical manifestation of the interaction between phenelzine and aged cheese.
C: Bradycardia is not associated with the interaction between phenelzine and aged cheese; it is more commonly seen with other medications or conditions.
E, F, G: No further choices provided.
Question 4 of 5
A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?
Correct Answer: C
Rationale: The correct answer is C: Decreased ascites. Spironolactone, a potassium-sparing diuretic, is commonly used in cirrhotic patients to decrease fluid retention and ascites. As the medication helps to increase urine output and reduce fluid accumulation in the abdomen, a decrease in ascites would indicate that the client is responding positively to the treatment. Increased energy (choice
A) and increased appetite (choice
D) are not direct indicators of the medication's effectiveness in treating cirrhotic ascites. Decreased jaundice (choice
B) may improve with liver function but is not a specific response to spironolactone.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because rifampin can cause a harmless side effect of orange discoloration of bodily fluids, including urine. This is important for the client to be aware of to prevent unnecessary concern or alarm.
Choice A is incorrect as rifampin can reduce the effectiveness of oral contraceptives.
Choice B is incorrect as rifampin is usually taken once daily in the morning on an empty stomach.
Choice C is incorrect as wearing soft contact lenses is not recommended while on rifampin due to potential discoloration.