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 because medication reconciliation is essential when a client is transferred to a different unit or level of care to ensure accurate and safe medication administration. It involves comparing the client's current medications with any new orders to prevent errors.
Choices A, B, and D do not involve a change in the level of care or unit transfer, so medication reconciliation is not required.
Question 2 of 5
A nurse is reviewing the list of current medications for a client who is to start a prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?
Correct Answer: C
Rationale: The correct answer is C, the estrogen-progestin combination. Carbamazepine can decrease the effectiveness of hormonal contraceptives, such as estrogen-progestin combinations, leading to a potential decrease in contraceptive efficacy and an increased risk of unintended pregnancy. This interaction occurs because carbamazepine can induce the metabolism of estrogen and progestin components, reducing their blood levels.
Therefore, it is important for the nurse to recognize this interaction and advise the client to use alternative contraceptive methods while taking carbamazepine to prevent unintended pregnancy. The other choices (A, B, and
D) do not have significant interactions with carbamazepine and are not directly affected by its metabolism.
Question 3 of 5
A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B. Mixing the medications with a semisolid food for the client with dysphagia helps prevent choking or aspiration. This method makes it easier for the client to swallow the medication safely. Tilt the client's head back (
A) can lead to aspiration. Administering more than one pill at a time (
C) can increase the risk of choking. Placing medications on the back of the tongue (
D) can also trigger the gag reflex and increase the risk of aspiration.
Extract:
Vital signs: Day 1: Temperature 36.2°C (97.2°F), Respiratory rate 18/min, Heart rate 74/min, Blood pressure 118/68 mm Hg, SpO2 96% on room air. Day 7: Temperature 36.9°C (98.4°F), Heart rate 86/min, Respiratory rate 18/min, Blood pressure 98/66 mm Hg, SpO2 97% on room air.
Question 4 of 5
A nurse is caring for a client in a provider's office. Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
Correct Answer: A, B, E, F
Rationale: The correct answer includes statements A, B, E, and F. Statement A is correct because taking the medication with a meal can help prevent nausea. Statement B is correct as vivid nightmares can be a side effect of the medication. Statement E is correct because an increase in involuntary movements can occur initially. Statement F is correct as the medication can cause lightheadedness upon standing quickly.
Choice C is incorrect because the color change in urine is not typically associated with the medication.
Choice D is incorrect as high protein meals typically do not affect the effectiveness of this medication.
Extract:
Question 5 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following predisposes this client to developing digoxin toxicity?
Correct Answer: A
Rationale: The correct answer is A. Taking a high ceiling diuretic predisposes the client to digoxin toxicity because diuretics can cause hypokalemia, which increases the risk of digoxin toxicity. Digoxin toxicity is more likely in patients with low potassium levels.
Choice B (COPD history), C (prolapsed mitral valve), and D (HMG CoA reductase inhibitor) are incorrect as they do not directly impact digoxin toxicity risk through potassium levels.