ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following?
Correct Answer: C
Rationale: The correct answer is C: A client who is transferal to a stepdown unit. Medication reconciliation is crucial during transitions of care to ensure accuracy and safety. When a client is transferred to a stepdown unit, their care level changes, necessitating a review of medications to prevent errors.
Choice A is not directly related to medication reconciliation.
Choice B involves a procedure, not a care transition requiring medication review.
Choice D pertains to therapy but does not involve a care transition.
Question 2 of 5
A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?
Correct Answer: D
Rationale: The correct answer is D: LDL 120 mg/dL. Atorvastatin is a medication used to lower LDL cholesterol levels. A decrease in LDL levels indicates the effectiveness of the treatment in reducing the risk of cardiovascular events. BUN, blood glucose, and urine specific gravity are not directly related to the effectiveness of atorvastatin in lowering cholesterol levels. BUN reflects kidney function, blood glucose monitors glucose levels, and urine specific gravity indicates hydration status.
Therefore, D is the best indicator of treatment effectiveness.
Question 3 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). "PRN" indicates as needed.
Choice B is incorrect because "MSO" is not morphine.
Choice C is incorrect because "MS" is not specific to morphine.
Choice D is incorrect because adding a decimal point (6.0 mg) is unnecessary and can lead to dosing errors.
Question 4 of 5
A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is to apply a warm, moist compress (
Choice
D). This helps improve circulation and reduce edema by promoting vasodilation and enhancing tissue perfusion. Cooling and edematous IV sites indicate impaired circulation, which can lead to complications like phlebitis. Slowing the IV rate (
Choice
A) may not address the underlying issue. Initiating a new IV distal to the initial site (
Choice
B) may not improve circulation in the affected area. Maintaining the extremity below heart level (
Choice
C) can worsen edema.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Notify your provider if you develop a fever while taking this medication. This is important because clozapine can cause a serious condition called agranulocytosis, which can lead to a fever. The nurse should emphasize the significance of monitoring for fever and promptly notifying the healthcare provider.
Choice A is incorrect because diarrhea is not a common adverse effect of clozapine.
Choice B is incorrect as ringing in the ears is not an expected adverse effect.
Choice D is incorrect because weight gain, not weight loss, is a common side effect of clozapine.