ATI RN
ATI Pharmacology 2023 III 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: B
Rationale: The correct answer is B: Calcium. Levothyroxine should be taken on an empty stomach to ensure proper absorption. Calcium can interfere with levothyroxine absorption, so it is recommended to wait at least 4 hours between taking them. Ginkgo biloba, Vitamin C, and Zinc do not interfere significantly with levothyroxine absorption. Taking them at the same time as levothyroxine should not cause any issues.
Question 2 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: The correct answer is D: Reason. The nurse should clarify the reason for the prescription with the provider because "PRN" (pro re nata) indicates that the medication should be taken as needed for a specific condition, such as nausea or vomiting. Understanding the reason for the medication helps ensure appropriate administration and monitoring.
A: Dose - The dose is clearly stated as 8 mg, so there is no need for clarification.
B: Route - The route is specified as by mouth, which is a common and appropriate route for ondansetron.
C: Frequency - The frequency is every 12 hours, so there is no ambiguity in this aspect of the prescription.
In summary, clarifying the reason for the PRN prescription is essential for safe and effective medication administration, making option D the correct choice for clarification.
Question 3 of 5
A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: Decreased wheezing. Theophylline is a bronchodilator used to treat respiratory conditions like asthma or COPD by relaxing the muscles in the airways, reducing wheezing. Decreased wheezing indicates improved airflow and lung function, demonstrating the medication's effectiveness. Increased blood pressure (
A) is not a common effect of theophylline and may indicate a potential adverse reaction. Decreased urine output (
C) is not a typical indicator of theophylline effectiveness and could signify dehydration or kidney issues. Increased level of consciousness (
D) is not directly related to theophylline's action on the respiratory system.
Question 4 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: A
Rationale:
Correct Answer: A
Rationale:
1. Remove the air bubble to avoid injecting air into the bloodstream, which can cause harm.
2. After drawing up the correct dose, flick the syringe to move any air bubbles to the top, and then push the plunger to expel the air.
3. Inject the medication slowly at a 45 to 90-degree angle into the fatty tissue of the abdomen or thigh.
4. Pinch the skin fold and insert the needle. After injecting, release the skin fold.
5. Avoid rubbing the site to prevent irritation and bruising.
Summary:
- B: Rubbing the site can cause irritation and bruising.
- C: Injections are typically given in the abdomen or thigh, not specifically the lateral thigh.
- D: Releasing the skin fold after injecting is correct, not before.
- E, F, G: No additional options provided.
Question 5 of 5
A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide, especially in high doses, can lead to tardive dyskinesia, a serious movement disorder characterized by involuntary repetitive movements of the face and body. This adverse effect is more common with long-term use. It is crucial for the nurse to monitor the client for any signs of tardive dyskinesia to prevent further complications.
A: Dry cough is not a common adverse effect of metoclopramide.
B: Oral candidiasis is not a common adverse effect of metoclopramide.
C: Black stools are not a common adverse effect of metoclopramide.
E, F, G: No additional options provided.