ATI RN
ATI Pharmacology Assessment 1 Questions
Extract:
A nurse is caring for a 65-year-old male client in a cardiac clinic. The client was recently discharged from an acute hospital stay for worsening heart failure. Below are the exhibits related to the client’s condition:
Exhibit 1: Nurses’ Notes 2 Weeks Ago
The client was admitted to the hospital two weeks ago with worsening heart failure. He was experiencing significant shortness of breath, fatigue, and 2+ edema on bilateral lower extremities. Upon auscultation, an S3 heart sound was noted, and occasional expiratory wheezing was present. The client was managed with furosemide, captopril, and metoprolol at home, but these medications were not sufficient to control his symptoms.
Exhibit 2: Nurses’ Notes Today
The client reports some improvement in shortness of breath with exertion but continues to feel fatigued. Upon auscultation, an S3 heart sound is still noted, and lung sounds are clear. The client has 1+ edema on the ankles and reports nausea, constipation, and blurred vision.
Exhibit 3: History and Physical
The client was discharged from the hospital two days ago after being treated for worsening heart failure. During the hospitalization, he was prescribed digoxin and a potassium supplement in addition to his existing medications. The client will return to the office in two weeks to review lab work and medication management.
Exhibit 4: Laboratory Results Today
Digoxin: 2.2 ng/mL (0.8 to 2 ng/mL)
Potassium: 4.8 mEq/L (3.5 to 5 mEq/L)
Exhibit 5: Vital Signs Today
Temperature: 36.8°C (98.2°F)
Heart rate: 55/min
Respiratory rate: 16/min
Blood pressure: 110/80 mm Hg
Oxygen saturation: 96% on room air
Question 1 of 5
Click to highlight the findings that indicate the client may be experiencing digoxin toxicity. To deselect a finding, click on the finding again.
| Digoxin: 2.2 ng/mL |
| Heart rate: 55/min |
| Nausea |
| Blurred vision |
Correct Answer: A,B,C,D
Rationale: Digoxin level above therapeutic range, bradycardia, nausea, and blurred vision are consistent with digoxin toxicity.
Extract:
Question 2 of 5
A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy?
Correct Answer: D
Rationale: Losartan is an angiotensin II receptor blocker (AR
B) that helps manage hypertension and has been shown to slow the progression of nephropathy in patients with type 2 diabetes.
Question 3 of 5
A nurse is preparing to administer ketorolac 30 mg IM to a client who is postoperative. Available is ketorolac 15 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Dose required: 30 mg, Concentration: 15 mg/mL. 30 mg ÷ 15 mg/mL = 2 mL. The nurse should administer 2 mL of ketorolac.
Question 4 of 5
A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider?
Correct Answer: C
Rationale: An allergy to atropine is significant because ipratropium is chemically related to atropine, which could lead to a severe allergic reaction.
Question 5 of 5
A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting to take immediate-release exenatide. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Immediate-release exenatide should be taken one hour before morning and evening meals to optimize its glucose-lowering effects by enhancing insulin secretion in response to meals.