ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for nitroglycerin sublingual tablets for treating angina. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Place the tablet under the tongue until dissolved' is correct. Sublingual nitroglycerin should be placed under the tongue to dissolve, allowing for rapid absorption and relief of angina.
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: Nalbuphine is an opioid agonist-antagonist that can counteract the effects of morphine and precipitate withdrawal symptoms in clients who are opioid-dependent. It should not be used concurrently with morphine, and the nurse should clarify this prescription with the provider.
Question 3 of 5
A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?
Correct Answer: D
Rationale: Decreased ascites is a direct indicator that spironolactone is effective. Spironolactone is a diuretic used to reduce fluid accumulation in the abdomen (ascites) associated with liver cirrhosis. A reduction in ascites indicates that the medication is working as intended.
Question 4 of 5
A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: I will discuss other treatment options with your provider' is correct because it acknowledges the client's fear and offers to explore alternative treatments, which can help build trust and ensure the client receives appropriate care.
Question 5 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?
Correct Answer: A
Rationale: Taking a high-ceiling diuretic, such as furosemide, can lead to hypokalemia (low potassium levels), which increases the risk of digoxin toxicity. Low potassium levels enhance the effects of digoxin on the heart, making toxicity more likely.