ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?
Correct Answer: A
Rationale: The correct answer is A: Nitroglycerin. Nitroglycerin is a contraindication for sildenafil due to the potential severe hypotension when both drugs are used together. Nitroglycerin is a vasodilator that can significantly lower blood pressure, and when combined with sildenafil, which also causes vasodilation, the additive effect can lead to dangerously low blood pressure. Albuterol, Furosemide, and Indomethacin do not have significant interactions with sildenafil that would contraindicate their use together.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-release capsule. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - "I will need to have blood levels drawn."
Rationale:
1. Theophylline is a medication with a narrow therapeutic range, requiring monitoring of blood levels.
2. Regular blood tests help ensure the medication is at a safe and effective level in the body.
3. Monitoring blood levels helps prevent toxicity or subtherapeutic levels.
4. Options A, B, and D are incorrect as they may lead to incorrect dosing or administration of the medication.
Question 3 of 5
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Hypotension is the priority finding because it can lead to decreased placental perfusion and compromise fetal oxygenation. The nurse should address hypotension promptly to prevent adverse outcomes for both the mother and the baby. Leg weakness is a common side effect of epidural anesthesia but is not as urgent as hypotension. Urinary retention can occur due to the epidural, but it does not pose an immediate threat to the client or baby. An elevated temperature may indicate infection but is not directly related to the epidural anesthesia.
Question 4 of 5
A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, 'I forgot to tell the doctor I take albuterol for asthma.' For which of the following medications should the nurse withhold the dose and notify the provider?
Correct Answer: D
Rationale: The correct answer is D: Propranolol. Albuterol is a beta-2 agonist used for asthma, which can interact with beta-blockers like propranolol, potentially causing severe bronchospasm and respiratory distress. The nurse should withhold the dose and notify the provider to avoid this dangerous interaction. Isosorbide mononitrate (
A) is a nitrate used for angina, not contraindicated with albuterol. Pantoprazole (
B) is a proton pump inhibitor for acid reflux, unrelated to albuterol. Montelukast (
C) is a leukotriene receptor antagonist for asthma, not contraindicated with albuterol.
Question 5 of 5
A nurse is assessing a client who received midazolam IV for moderate (conscious) sedation. Which of the following assessments is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Level of consciousness. When a client receives midazolam for conscious sedation, the priority assessment is the level of consciousness to ensure the client is responsive and maintains airway patency. This assessment allows the nurse to monitor for any signs of over-sedation or respiratory depression, which are potential side effects of midazolam. Monitoring the client's temperature, heart rate, and oxygen saturation are important, but they are secondary to assessing the level of consciousness in this scenario. Checking the temperature may be important for general assessment, heart rate for potential adverse effects, and oxygen saturation for respiratory status, but the primary concern is ensuring the client remains conscious and responsive during the sedation procedure.