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's risk based on the assessment findings, which may reveal how multiple medications interact, potentially leading to adverse effects or drug interactions. This is crucial in ensuring the client's safety and well-being. The other choices, recent illness, activity level, and the remaining options, do not directly correlate with the potential risk associated with medication use. It is important to focus on medication-related risks as they can have significant implications for the client's health outcomes.
Extract:
Question 2 of 5
A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer?
Correct Answer: C
Rationale: The correct answer is C: Colesevelam (Welchol). Colesevelam is a bile acid sequestrant used to lower cholesterol levels by binding to bile acids in the intestines, preventing their reabsorption, and promoting their excretion in the feces. This ultimately reduces the total cholesterol levels in the body. Colchicine (
A) is used to treat gout and familial Mediterranean fever, not high cholesterol. Cimetidine (
B) is an H2 blocker used to reduce stomach acid production. Chlorpromazine (
D) is an antipsychotic medication.
Therefore, choices A, B, and D are incorrect for the treatment of high cholesterol.
Question 3 of 5
A nurse manager is planning an in-service about pain management with opioids for clients who have cancer. Which of the following information should the nurse manager include?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Opioid tolerance develops with continued use, leading to a decrease in respiratory depression risk.
2. This knowledge is crucial for safe opioid administration in cancer patients.
3. Respiratory depression risk is a significant concern with opioid use.
4. Understanding the development of tolerance helps in monitoring and managing opioid side effects.
Summary:
A: IM administration is not necessarily recommended over PO opioids; routes should be individualized.
C: Meperidine is not the opioid of choice due to toxic metabolites and limited duration of action.
D: PRN medications should not be withheld; they are essential for effective pain management.
E, F, G: No information provided.
Question 4 of 5
A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Check the client's glucose level. Metformin is a medication used to treat diabetes, so administering it instead of metoprolol, a beta-blocker, can lead to hypoglycemia (low blood sugar). Checking the client's glucose level is crucial to assess if the client is experiencing hypoglycemia and to take appropriate action. Monitoring thyroid function levels (
A), collecting uric acid levels (
B), and obtaining HDL levels (
C) are not relevant in this situation and would not provide immediate information on the client's condition. Checking the glucose level is the priority to address the potential adverse effects of administering the wrong medication.
Question 5 of 5
A nurse is monitoring laboratory values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Potassium 2.9 mEq/L. Low potassium levels can increase the risk of digoxin toxicity, as digoxin competes with potassium for binding sites on cardiac cells. Hypokalemia can potentiate the effects of digoxin, leading to adverse cardiac effects.
Therefore, the nurse should report this low potassium level to the provider for potential adjustment of digoxin dosage or potassium supplementation.
Incorrect
Choices:
A: Sodium 1.38 mEq/dL - Low sodium levels can be concerning but are not directly related to digoxin toxicity.
B: Magnesium 1.5 mEq/L - Low magnesium levels can also increase the risk of digoxin toxicity but potassium is a more critical electrolyte to monitor in this case.
C: BUN level 10 mg/dL - BUN level within normal range and not directly related to digoxin therapy.