ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Exercise caution when changing positions. This is important to include in the teaching because captopril, an ACE inhibitor, can cause a drop in blood pressure, leading to dizziness or lightheadedness when changing positions. Monitoring pulse rate (
B) may not be necessary for this medication. Taking a daily potassium supplement (
A) is typically not recommended as captopril can already increase potassium levels. Increasing sodium intake (
C) is counterproductive as it can worsen high blood pressure. Other choices are not directly related to the medication's side effects.
Question 2 of 5
A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. Nifedipine is a calcium channel blocker used to treat hypertension. Before administering, the nurse should assess the client's blood pressure as this medication can cause hypotension as a side effect. Monitoring blood pressure ensures safety and effectiveness of the medication. Assessing respiratory rate, temperature, and oxygen saturation are important but not specific to nifedipine administration. Blood pressure is the priority assessment in this case.
Question 3 of 5
A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Exercise caution when changing positions. This is important to include in the teaching because captopril, an ACE inhibitor, can cause a drop in blood pressure, leading to dizziness or lightheadedness when changing positions. Monitoring pulse rate (
B) may not be necessary for this medication. Taking a daily potassium supplement (
A) is typically not recommended as captopril can already increase potassium levels. Increasing sodium intake (
C) is counterproductive as it can worsen high blood pressure. Other choices are not directly related to the medication's side effects.
Question 4 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Correct Answer: B
Rationale: The correct answer is B: Grasp skin between thumb and forefinger throughout the injection. This technique helps to stabilize the tissue around the injection site, reducing the risk of bleeding. By holding the skin taut, the needle can be inserted more accurately, minimizing trauma to the blood vessels and tissues. This method also helps prevent the medication from leaking out of the injection site, ensuring proper absorption.
For the other choices:
A: Gently massaging the site following the injection can increase bleeding by disrupting the clotting process.
C: The Z-track method is used for intramuscular injections, not subcutaneous, and is not necessary to minimize bleeding in this case.
D: Aspirating the syringe is not required for subcutaneous injections and does not directly impact bleeding following the injection.
Question 5 of 5
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?
Correct Answer: A
Rationale: The correct answer is A: Ginkgo biloba. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its anticoagulant properties, potentially leading to serious complications. Coenzyme Q10 (
Choice
B), Valerian (
Choice
C), and Probiotics (
Choice
D) do not have significant interactions with warfarin. Ginkgo biloba is the only supplement in the list known to interact adversely with warfarin.