ATI RN
ATI RN Pharmacology Proctored Exam Questions
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 1 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 is at risk for adverse drug interactions or side effects due to the potential interactions between medications. Recent illness (
B) may impact the client's health but does not specifically relate to medication use. Activity level (
C) is important but does not directly indicate medication risk. Without options D, E, F, and G, they cannot be considered as potential correct choices.
Extract:
Question 2 of 5
Which of the following statements should the nurse include when teaching the client about the prescribed medication?
Correct Answer: A
Rationale: The correct answer is A because taking the medication with a meal can help reduce nausea. This statement is important to ensure client compliance and improve medication tolerance.
Choice B is incorrect as vivid nightmares are not a common side effect of the medication.
Choice C is incorrect as urine color change is not relevant to this medication.
Choice D is incorrect as high protein meals do not affect medication effectiveness.
Choice E is incorrect as an increase in involuntary movements is not expected with this medication.
Extract:
Nurses' Notes
3 days ago: Client presents with reports of intermittent spotting between menstrual cycles. Pelvic examination and swabs for sexually medication.”
transmitted infections obtained by the provider.
Medications include a combined oral contraceptive.
Today:
Client returns to office to discuss results of laboratory testing.
Education provided on newly obtained prescriptions.
Question 3 of 5
Which of the following statements should the nurse include in the teaching about the new medication?
Correct Answer: D
Rationale: The correct answer is D: You should avoid the sun while taking this medication. This is important because some medications can increase sensitivity to sunlight, leading to sunburn or skin reactions. Avoiding the sun can prevent these adverse effects.
A: You should not take this medication with dairy products as it may interfere with the absorption of the medication.
B: Constipation is a common side effect of some medications, but it is not specific to this particular medication.
C: Headache or blurred vision may occur with some medications, but it is not specific to this particular medication.
E: Using an alternate method of birth control may be necessary if the medication interferes with hormonal contraceptives, but this information is not provided in the question stem.
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: [0, 1, 0, 0]
The correct answer is Stay with the client for the first 15 min of the transfusion. This action is indicated to monitor for adverse reactions such as fever, chills, or signs of hemolysis. Documenting the blood product transfusion (
A) is important but not a priority during the initial phase. Titrating the infusion rate (
C) and obtaining the blood product (
D) are essential, but staying with the client for monitoring takes precedence. Starting an IV bolus (E) is not related to blood transfusion monitoring.
Extract:
Question 5 of 5
A nurse is caring for a client receiving gentamicin. Which of the following should the nurse monitor the client for?
Correct Answer: C
Rationale: The correct answer is C: Polyuria. Gentamicin is an antibiotic known to potentially cause kidney damage, leading to impaired kidney function and decreased urine output.
Therefore, monitoring for polyuria (excessive urine output) is crucial to assess the client's renal function. Prostephobia, Tireibus, and Tathyramda are not known side effects or complications associated with gentamicin use. Prostephobia is not a medical term, and Tireibus and Tathyramda are not relevant to gentamicin therapy. The nurse should focus on monitoring the client for signs of kidney damage, such as changes in urine output, in this scenario.