ATI RN
ATI RN Pharmacology 2019 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has angina about a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Keep the tablets at room temperature in their original glass bottle. Nitroglycerin tablets are sensitive to light, moisture, and heat. Storing them in their original glass bottle at room temperature helps maintain their efficacy.
Choice A is incorrect as nitroglycerin is typically taken as needed for angina attacks, not prophylactically each morning.
Choice B is incorrect as nitroglycerin tablets should be replaced every 6 months after opening, not discarded.
Choice D is incorrect as nitroglycerin tablets are meant to be placed under the tongue, not between the cheek and gum.
Question 2 of 5
A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A: I should stay upright for at least 15 minutes after taking this medication.
Rationale: Ferrous gluconate can cause gastrointestinal irritation if taken lying down. Staying upright helps prevent reflux and irritation. This statement shows understanding of this precaution.
Option B is incorrect because antacids can decrease the absorption of iron.
Option C is incorrect because milk can also decrease iron absorption.
Option D is incorrect because black stools are an expected side effect of iron supplements and not necessarily indicative of a problem.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Drowsiness. Paroxetine is an antidepressant medication that belongs to the class of selective serotonin reuptake inhibitors (SSRIs). Drowsiness is a common side effect of SSRIs, including paroxetine. The nurse should instruct the client to monitor for drowsiness as it can affect their daily activities and may indicate the need for dosage adjustment or further evaluation.
Incorrect choices:
A: Tinnitus - Tinnitus is not a common adverse effect of paroxetine.
B: Alopecia - Hair loss (alopecia) is not a typical side effect of paroxetine.
C: Peripheral edema - Peripheral edema is not a common side effect of paroxetine and is more commonly associated with other medications.
E, F, G: No other choices provided.
Question 4 of 5
A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Increase in BP. Albumin infusion helps to increase oncotic pressure, which in turn helps to draw fluid back into the blood vessels from the tissues. This leads to an increase in blood volume and subsequently an increase in blood pressure. The other options are incorrect because:
A) Decrease in protein would not be expected as albumin is a protein and its infusion would not cause a decrease in protein levels.
C) Oxygen saturation of 96% is a normal finding and not specifically related to albumin infusion in shock.
D) PaCO2 of 30 mm Hg is within normal range and not directly related to albumin infusion.
Question 5 of 5
A nurse is receiving a medication prescription by telephone from a provider. The provider states, 'Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.' How should the nurse transcribe the prescription in the client's medical record?
Correct Answer: A
Rationale: The correct answer is A: Morphine 6 mg IV push every 3 hr PRN acute pain. This transcription accurately reflects the medication (morphine), dose (6 mg), route (IV push), frequency (every 3 hours), and indication (acute pain). It is clear, concise, and follows standard medication transcription guidelines.
Choice B (MS 6 mg IV push every 3 hr PRN acute pain) is incorrect because it uses an abbreviation (MS) instead of the full drug name (morphine).
Choice C (MSO4 6 mg IV push every 3 hr PRN acute pain) is incorrect because it uses the chemical name (MSO4) rather than the common name (morphine).
Choice D (Morphine 6.0 mg IV push every 3 hr PRN acute pain) is incorrect because the unnecessary decimal point after the dose (6.0 mg) could lead to dosing errors. Also, the abbreviation "