ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?
Correct Answer: C
Rationale: The correct answer is C: Calcium. Levothyroxine absorption can be affected by calcium supplements, so the client should wait at least 4 hours after taking levothyroxine before taking calcium. Calcium can bind to levothyroxine in the gastrointestinal tract, reducing its absorption and effectiveness. Ginkgo biloba (
Choice
A), Zinc (
Choice
B), and Vitamin C (
Choice
D) do not interact significantly with levothyroxine absorption, so there is no need to wait before taking them.
Question 2 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. The nurse should clarify this prescription because nalbuphine is an opioid antagonist and may reduce the effectiveness of morphine in managing the client's pain. Acetaminophen (
B) is a mild pain reliever and can be safely used with morphine. Ondansetron (
C) is an antiemetic commonly given with opioids to manage nausea. Insulin glargine (
D) is used to control blood sugar levels and does not directly interact with morphine.
Question 3 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the air bubble remains in the syringe. This is important because enoxaparin is an anticoagulant medication and should be injected without removing the air bubble to ensure the full dose is administered.
Choice A is incorrect as enoxaparin should be injected into the abdomen, not the lateral thigh.
Choice B is incorrect because the skin fold should be held during the injection to ensure proper administration.
Choice D is incorrect as rubbing the site after injection can cause bruising or irritation.
Question 4 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: A
Rationale: The correct answer is A: Furosemide and amikacin. Furosemide is a loop diuretic known to cause hearing loss, especially when used in combination with aminoglycosides like amikacin. Aminoglycosides can potentiate the ototoxic effects of loop diuretics, leading to hearing loss. Propranolol and raloxifene (
B), Digoxin and levothyroxine (
C), and Losartan and atorvastatin (
D) do not have known interactions leading to hearing loss. Monitoring Furosemide and amikacin combination is crucial to prevent adverse effects.
Question 5 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: B
Rationale: The correct answer is B: Identify the client using two identifiers. This step is crucial for patient safety and medication administration accuracy. By confirming the client's identity using two identifiers (name, date of birth, or medical record number), the nurse ensures the right medication is given to the right patient. This initial verification step helps prevent medication errors and ensures the client's safety. Removing the medication from the cabinet, documenting administration, and comparing medication amounts are important steps but should follow the crucial step of confirming the client's identity to minimize the risk of error.