ATI RN
ATI RN Pharmacology 2023 II 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: B
Rationale: Nalbuphine is an opioid agonist-antagonist that can counteract the effects of morphine and precipitate withdrawal symptoms in clients who are opioid-dependent. It should not be used concurrently with morphine, and the nurse should clarify this prescription with the provider.
Question 2 of 5
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?
Correct Answer: B
Rationale: PT (prothrombin time) is the correct test to review before administering warfarin. PT measures the extrinsic pathway of coagulation and is used to calculate the INR (International Normalized Ratio), which helps monitor and adjust warfarin dosage to ensure therapeutic levels and prevent complications.
Question 3 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: D
Rationale: Decreased ascites is a direct indicator that spironolactone is effective. Spironolactone is a diuretic used to reduce fluid accumulation in the abdomen (ascites) associated with liver cirrhosis. A reduction in ascites indicates that the medication is working as intended.
Question 4 of 5
A nurse is caring for a client who has a sulfonamide allergy. Which of the following medications should the nurse identify as contraindicated?
Correct Answer: D
Rationale: Glyburide is a sulfonylurea used to treat type 2 diabetes by increasing insulin production in the pancreas. It contains sulfonamide and can cause allergic reactions in patients with sulfonamide allergies, making it contraindicated.
Question 5 of 5
A nurse is preparing to transcribe a prescription for a client that reads 'ondansetron 8 mg by mouth every 12 hr PRN.' Which of the following parts of the prescription should the nurse clarify with the provider?
Correct Answer: D
Rationale: Reason is not specified in the prescription. PRN (as needed) medications should include the specific indication for use to ensure safe and appropriate administration. The nurse should clarify with the provider under what circumstances the ondansetron should be given, such as for nausea or vomiting.