ATI RN
ATI Nurs 180 Pharmacology Exam Questions
Extract:
Medical History
Medications
Patient admitted 1 days ago with complaints of swelling, redness, and pain in left leg.
A nurse is taking care of a client with diagnosis of deep vein thrombosis (DVT) receiving anticoagulant therapy.
Question 1 of 5
Based on the patient's current medications, the nurse knows to monitor [Dropdown Group 1] for heparin and [Dropdown Group 2] for warfarin sodium.
| aPTT |
| PT-INR |
| CBC |
| No lab monitoring is needed |
Correct Answer: A,B
Rationale: aPTT monitors heparin's anticoagulant effect, while PT-INR tracks warfarin's impact on clotting factors, ensuring therapeutic levels and safety.
Extract:
Question 2 of 5
A client presents to the healthcare setting and ordered verapamil (Calan) to treat his hypertension. Which assessment finding by the nurse would determine if the medication should be held?
Correct Answer: D
Rationale: Verapamil may be held if the pulse is significantly low (<60 bpm) due to its heart rate-lowering effect, though 78 bpm is normal.
Question 3 of 5
The nurse is caring for a client following a myocardial infarction (MI) and prescribed aspirin 325mg PO daily. Which of following effects of this medication would this client benefit from following a MI?
Correct Answer: D
Rationale: Aspirin's platelet aggregation inhibition prevents further clot formation, reducing cardiovascular event risk post-MI.
Question 4 of 5
A charge nurse is teaching a group of nurses about the antagonist action of reversal medications. For each medication listed below, click to specify the expected reversal agent.
| Options | Glucagon | Protamine sulfate | Vitamin K | Andexanet alfa |
|---|---|---|---|---|
| Warfarin: Vitamin K | ||||
| Heparin: Protamine sulfate | ||||
| Rivaroxaban: Andexanet alfa | ||||
| Beta Blockers: Glucagon |
Correct Answer: A,B,C,D
Rationale: Vitamin K reverses warfarin, protamine sulfate neutralizes heparin, andexanet alfa counters rivaroxaban, and glucagon mitigates beta-blocker overdose effects.
Question 5 of 5
A client arrives to the healthcare setting currently taking atorvastatin (Lipitor) daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?
Correct Answer: D
Rationale: Dark-red urine may indicate rhabdomyolysis, a serious atorvastatin side effect, requiring immediate reporting to prevent kidney damage.