ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA)
Correct Answer: C,D,E
Rationale:
Correct Answer: C, D, E
Rationale:
C: Shake the device prior to administration helps ensure proper mixing of the medication for effective delivery.
D: A spacer will make it easier to use the device by helping the child inhale the medication more effectively and reducing the risk of side effects.
E: Using a spacer also reduces the likelihood of oral thrush, a common side effect of inhaled corticosteroids.
Incorrect
Choices:
A: Soaking the inhaler in water after use is unnecessary and may damage the device.
B: Taking one inhalation as needed for shortness of breath is not an appropriate dosing instruction for a maintenance medication like fluticasone.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse, 'I do not take this medication. I would prefer a natural therapy.' Which of the following supplements should the nurse suggest the client discuss with the provider?
Correct Answer: D
Rationale: The correct answer is D: Saw palmetto. Saw palmetto is a commonly used herbal remedy for benign prostatic hyperplasia (BPH) symptoms. It has been shown to potentially reduce urinary symptoms and improve quality of life in BPH patients. The nurse should suggest the client discuss saw palmetto with the provider as it may be a suitable alternative to doxazosin.
A: Black cohosh is not typically used for BPH and is more commonly used for menopausal symptoms in women.
B: Garlic does not have a direct link to treating BPH symptoms.
C: Feverfew is primarily used for migraines and inflammatory conditions, not for BPH.
E, F, G: No additional choices provided.
In summary, the other choices are incorrect because they are not commonly associated with treating BPH symptoms, unlike saw palmetto which has some evidence supporting its use in this context.
Question 3 of 5
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C because furosemide can cause ototoxicity, leading to hearing difficulties. The nurse should notify the provider immediately to prevent further harm. A: Potassium level within normal range is expected with furosemide. B: Dizziness upon standing is a common side effect of furosemide due to fluid loss and orthostatic hypotension. D: BUN level is within normal range and not a concern in this situation.
Extract:
Provider Prescriptions 1230:
0.9% sodium chloride 500 mL bolus then 100 mL/hr.
Type and cross match for 2 units of packed RBCs.
Repeat WBC, hemoglobin, hematocrit STAT.
Delay endoscopy.
2L/min O, via nasal cannula,
1330:
2 units packed RBCs IV over 4 hr.
Repeat WBC, hemoglobin, hematocrit at transfusion completion
Question 4 of 5
The nurse is ready to begin the blood transfusion. For each potential nursing action, click to specify if the action is indicated or not indicated for the client.
| Nursing Action | Indicated | Not Indicated |
|---|---|---|
| Document the blood product transfusion in the client's medical record. | ||
| Stay with the client for the first 15 min of the transfusion. | ||
| Titrate the rate of infusion to maintain the client's blood pressure at least 90/60 mm Hg. | ||
| Obtain the first unit of packed RBCs from the blood bank. | ||
| Start an IV bolus of lactated Ringer's solution. |
Correct Answer: B
Rationale:
Step 1: Stay with the client for the first 15 min of the transfusion : This action is crucial to monitor the client for any immediate adverse reactions during the initial phase of the transfusion.
Step 2: Document the blood product transfusion in the client's medical record (Not Indicated): While documentation is important, it is not the immediate priority compared to staying with the client for monitoring.
Step 3: Titrate the rate of infusion to maintain the client's blood pressure at least 90/60 mm Hg (Not Indicated): Although monitoring blood pressure is important, titrating the rate is not the initial action needed during the first 15 min.
Step 4: Obtain the first unit of packed RBCs from the blood bank (Not Indicated): This is a necessary step before starting the transfusion but is not related to the immediate monitoring of the client.
In summary, staying with the client for the first 15 min of the transf
Extract:
Client awake, alert, and oriented to person, place, and time.
Lung sounds clear and equal bilaterally. Heart rhythm regular,
no peripheral edema, capillary refill less than 3 seconds in all
extremities. Abdomen soft and nondistended.
Client has past medical history of acute myocardial infarction 4
weeks ago. Client is taking warfarin 8 mg PO once daily.
Question 5 of 5
Complete the following sentence by using the lists of options. Upon analyzing the assessment findings, the nurse identifies that the client is at risk for Select... due to the Select...
Correct Answer: A
Rationale: The correct answer is A: concurrent medication use. The nurse identifies the client's risk based on the assessment findings, which may reveal how multiple medications interact, potentially leading to adverse effects or drug interactions. This is crucial in ensuring the client's safety and well-being. The other choices, recent illness, activity level, and the remaining options, do not directly correlate with the potential risk associated with medication use. It is important to focus on medication-related risks as they can have significant implications for the client's health outcomes.