ATI RN
ATI RN Pharmacology 2023 Retake 2 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: D
Rationale: The correct answer is D: Calcium. Levothyroxine is a thyroid hormone replacement medication that can bind to calcium, iron, and certain other minerals, reducing its absorption. Instructing the client to wait 4 hours after taking levothyroxine before taking calcium ensures optimal absorption of the medication. Zinc, Vitamin C, and Ginkgo biloba do not interfere significantly with levothyroxine absorption, so there is no need to wait specifically 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: B
Rationale: The correct answer is B: Nalbuphine. The nurse should clarify this prescription because nalbuphine is an opioid agonist-antagonist, which can potentially interfere with the analgesic effects of morphine. It may lead to decreased pain control in the client. Ondansetron (
A) is commonly used for nausea and vomiting, insulin glargine (
C) for diabetes management, and acetaminophen (
D) for pain relief, and these medications do not have significant interactions with morphine via PCA pump in cancer patients.
Question 3 of 5
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Melena. Melena is a sign of gastrointestinal bleeding, which can be a serious complication of warfarin therapy due to its anticoagulant effects. Reporting melena promptly is crucial to prevent further complications like hemorrhage. Hair loss (
A) is a common side effect of warfarin but not a priority compared to potential bleeding. Abdominal cramping (
C) can occur but does not indicate immediate danger. Fever (
D) is not directly related to warfarin therapy and may be due to other causes.
Question 4 of 5
A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C. TPN provides nutrients while giving the bowels time to rest. This is important because TPN bypasses the digestive system, allowing the bowels to rest and heal.
Choice A is incorrect as TPN does not stimulate appetite.
Choice B is incorrect as TPN is not primarily for medication absorption.
Choice D is incorrect as TPN is not used to keep bowels clear for surgery.
Question 5 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: D
Rationale: The correct answer is D: Furosemide and amikacin. Furosemide and aminoglycosides like amikacin can cause ototoxicity, leading to hearing loss. Furosemide can enhance the ototoxic effects of aminoglycosides. Monitoring for hearing loss is crucial when these medications are used together.
Choice A (Digoxin and levothyroxine) is incorrect as these medications are not known to cause hearing loss.
Choice B (Losartan and atorvastatin) is incorrect as these medications do not commonly cause hearing loss.
Choice C (Propranolol and raloxifene) is incorrect as these medications are not associated with hearing loss.