ATI RN
ATI RN Pharmacology 2023 III 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 information is crucial to include in the teaching because captopril, an ACE inhibitor, can cause orthostatic hypotension, leading to dizziness or lightheadedness when changing positions. By advising the client to exercise caution when changing positions, the nurse helps prevent falls and injuries.
A: Take a daily potassium supplement - Incorrect. Captopril can actually increase potassium levels, so taking additional potassium supplements may lead to hyperkalemia.
B: Monitor your pulse rate before taking medication - Incorrect. While monitoring pulse rate is important for some medications, it is not specifically related to captopril.
C: Increase the amount of sodium in your diet - Incorrect. Captopril can actually decrease sodium levels, so increasing sodium intake could worsen the imbalance.
Question 2 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: B
Rationale: The correct answer is B: Tardive dyskinesia. Metoclopramide is known to cause tardive dyskinesia, a serious movement disorder characterized by involuntary repetitive movements. This adverse effect is associated with long-term use of high doses of metoclopramide. Dry cough (
A) is not a common adverse effect of metoclopramide. Oral candidiasis (
C) is not directly associated with metoclopramide use. Black stools (
D) are not a typical adverse effect of metoclopramide and would be more concerning for gastrointestinal bleeding. Thus, the nurse should primarily monitor for tardive dyskinesia in a client receiving high-dose metoclopramide.
Question 3 of 5
A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?
Correct Answer: A
Rationale: The correct answer is A: Prochlorperazine. Prochlorperazine is an antiemetic medication commonly used to treat severe vomiting due to its ability to block dopamine receptors in the brain. This helps to reduce nausea and vomiting. Propafenone is an antiarrhythmic drug, not indicated for vomiting. Metformin is an antidiabetic medication and not used for vomiting. Simvastatin is a statin used to lower cholesterol levels, not for vomiting. In this scenario, prochlorperazine is the most appropriate choice to address the client's severe vomiting.
Question 4 of 5
A nurse is reviewing a provider's prescriptions for medications. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: D
Rationale: The nurse should clarify the prescription for Lisinopril 5.0 mg PO once daily with the provider because this medication is typically prescribed once daily for hypertension, but the dosage of 5.0 mg is unusually low. The standard starting dose for Lisinopril is usually 10 mg daily. Clarification is needed to ensure the dosage is appropriate for the patient's condition.
Choice A, B, and C are all standard prescriptions for Insulin glargine, Timolol, and Spironolactone respectively, with appropriate dosages and administration frequencies.
Question 5 of 5
A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Bradycardia. Amiodarone is an antiarrhythmic medication that can cause bradycardia as an adverse effect due to its action of prolonging the cardiac action potential. This can lead to a slower heart rate. Hypertension (
A) is not a common adverse effect of amiodarone. Fever (
B) is not typically associated with amiodarone use. Bradypnea (
C) refers to slow breathing rate, which is not a common adverse effect of amiodarone. In summary, bradycardia is the most likely adverse effect of amiodarone, while the other options are less likely based on the pharmacological actions of the medication.