ATI RN
ATI RN Pharmacology 2019 Exam 6 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: B
Rationale: The correct answer is B: Nitroglycerin. Nitroglycerin is contraindicated with sildenafil due to their combined vasodilatory effects, which can lead to severe hypotension and cardiovascular complications. Nitroglycerin is commonly used for chest pain and heart conditions, and its interaction with sildenafil can be life-threatening. Furosemide (
A), Indomethacin (
C), and Albuterol (
D) do not have significant interactions with sildenafil and are safe to use together.
Question 2 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: The correct answer is A: Identify the client using two identifiers. This is the first step in medication administration to ensure safety and accuracy. By verifying the client's identity with two unique identifiers, such as name and birthdate, the nurse can confirm they are giving the medication to the correct person, helping prevent medication errors. Documenting the administration (
B), removing the medication (
C), and checking inventory (
D) are important steps but come after confirming the client's identity to prioritize patient safety.
Question 3 of 5
A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prime the tubing with 0.9% sodium chloride. Before administering amphotericin B lipid complex, it is crucial to prime the tubing with 0.9% sodium chloride to prevent the medication from interacting with other fluids or medications in the tubing. This ensures the client receives the full dose of the medication without any dilution or contamination.
Choice B: Administer the medication over 2 hr is incorrect because amphotericin B lipid complex should be administered slowly over 2-6 hours, not 2 hours specifically.
Choice C: Using a gravity flow set is incorrect as an IV pump is typically used for administering amphotericin B lipid complex to ensure accurate and controlled infusion rates.
Choice D: Discard the medication if it is yellow is incorrect as amphotericin B lipid complex is a yellow-colored medication, so discarding it based solely on color would result in unnecessary wastage.
In summary, priming the tubing with
Question 4 of 5
A nurse is teaching a client who has active pulmonary tuberculosis about the management of medication for the disease. Which of the following statements is appropriate for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B: You will need to take two or more medications to treat your disease. This is appropriate because pulmonary tuberculosis is typically treated with a combination of antibiotics to prevent drug resistance. Taking multiple medications targets different aspects of the bacteria, increasing treatment effectiveness. Other choices are incorrect because monthly blood draws for kidney function monitoring (
A) are not typically required for TB medication, treatment duration is usually shorter than 3 years (
C), and tuberculin skin tests are not done routinely during treatment (
D).
Question 5 of 5
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should not take an antacid within 1 hour of taking this medication." This is because ranitidine, a medication used to treat gastric ulcers, works by reducing stomach acid production. Taking an antacid along with it can decrease the effectiveness of ranitidine. The other choices are incorrect because: A: Dairy products do not interact with ranitidine. C: Aspirin can worsen gastric ulcers and should be avoided. D: Fine hand tremors are not an expected side effect of ranitidine.