ATI RN
ATI Pharmacology Assessment 1 Questions
Extract:
Vital Signs
Nurses' Notes
Physical Examination Results
1220
Temperature: 40.2° C (104.4° F)
Respiratory rate: 24/min
Heart rate: 125/min
Blood pressure: 90/60 mm Hg
Oxygen saturation: 86% on 2 L oxygen via nasal cannula
A nurse is caring for a 35-year-old male client in the postanesthesia care unit (PACU) following a laparoscopic appendectomy. The client is drowsy and responsive to voice. As part of the assessment, the nurse must monitor the client’s status and respond to changes.
Exhibits
Complete the following sentence by using the lists of options:
The nurse should first address the client's Oxygen saturationRespiratory rateBlood pressureMuscle rigidity, followed by the client’s Heart rateTemperatureNausea and vomitingBlood pressure.
Question 1 of 5
Complete the following sentence by using the lists of options: The nurse should first address the client'sOxygen saturationRespiratory rateBlood pressureMuscle rigidity, followed by the client'sHeart rateTemperatureNausea and vomitingBlood pressure.
| Oxygen saturation |
| Respiratory rate |
| Blood pressure |
| Muscle rigidity |
| Heart rate |
| Temperature |
| Nausea and vomiting |
Correct Answer: A,C
Rationale: The nurse should first address the client's oxygen saturation, followed by the client's blood pressure to manage hypoxia and hemodynamic instability.
Extract:
Question 2 of 5
A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Contacting the provider is essential to inform them of the error and receive further instructions. Reporting the error to the charge nurse is necessary for proper documentation. Auscultating the client's lungs is important to check for signs of fluid overload. Checking for peripheral edema helps assess the extent of fluid overload.
Question 3 of 5
A nurse is assessing a client who is receiving gemfibrozil. The nurse should identify which of the following findings as an adverse effect of this medication?
Correct Answer: B
Rationale: Muscle tenderness is a known adverse effect of gemfibrozil. It can indicate myopathy or rhabdomyolysis, which are serious conditions that require medical attention.
Question 4 of 5
A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam. The nurse should monitor the client for which of the following manifestations as an adverse effect of colesevelam?
Correct Answer: D
Rationale: Constipation is a common adverse effect of colesevelam. This medication binds to bile acids in the intestines, which can lead to gastrointestinal side effects such as constipation.
Question 5 of 5
A nurse is caring for a client who is taking a glucocorticoid. Which of the following findings should indicate to the nurse the client is experiencing hypokalemia? (Select all that apply.)
Correct Answer: A,E
Rationale: Muscle weakness is a common symptom of hypokalemia due to decreased potassium levels affecting muscle function. Fatigue is another symptom as low potassium levels can impair cellular function and energy production.