ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Provider Prescrptions
2 deys later
Ferrous sufate 325 mg PO every other cay. Laboratory Results
0930hrs
Feman 7 agiml (1012 150 ngrmi)
Iron 45 meg/dL (60 to 160 megrdl)
Hemagiobin
Question 1 of 5
For each of the following client statements, click to specify whether the statement indicates an understanding or no understanding of the teaching.
| Client Statement | Understanding | No understanding |
|---|---|---|
| If I experience black stools, I should notify my provider. | ||
| I should rinse my mouth after taking this medication. | ||
| I should avoid taking antacids while on this medication. | ||
| I should take this medication with orange juice. | ||
| I should take my medication on an empty stomach. |
Correct Answer: D
Rationale: [0, 0, 0, 1]
Client Statement D states, "I should take this medication with orange juice." This statement is incorrect for most medications as citrus juices like orange juice can interact with medications.
Therefore, choosing this option indicates no understanding. The other statements do not directly relate to medication instructions, so they should not be selected.
Extract:
Question 2 of 5
A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because inserting the needle at least 5 cm from the umbilicus helps prevent injury to the underlying structures. It ensures proper administration of the medication into the subcutaneous tissue, reducing the risk of complications. Massaging the site after administering the medication (choice
A) is incorrect as it can cause bruising and discomfort. Using a 21-gauge needle (choice
B) is incorrect because a smaller gauge needle is typically recommended for subcutaneous injections. Aspirating before injecting the medication (choice
C) is unnecessary for subcutaneous injections as there are no major blood vessels in the subcutaneous tissue.
Question 3 of 5
A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Document this as an expected finding. Rifampin, an antibiotic used to treat tuberculosis, can cause a harmless side effect of red-orange discoloration of bodily fluids like urine and sweat. Checking liver function tests (choice
A) is unnecessary as this side effect is not related to liver function. Instructing the client to increase fluid intake (choice
B) may not resolve the discoloration and is not the priority. Preparing the client for dialysis (choice
D) is unnecessary and extreme for this expected side effect.
Therefore, the most appropriate action is to document this as an expected finding, as it does not indicate any serious issue.
Question 4 of 5
A nurse is assessing for allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?
Correct Answer: A
Rationale: The correct answer is A: Eggs. The influenza vaccine is typically produced using eggs, so individuals with egg allergies may have an adverse reaction to the vaccine. It is essential for the nurse to report an egg allergy as a possible contraindication to receiving the influenza vaccine to prevent any potential allergic reactions. Other choices such as shellfish, peanuts, and milk are not directly related to the influenza vaccine composition, therefore not considered contraindications for receiving the vaccine.
Question 5 of 5
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C because furosemide can cause ototoxicity, leading to hearing difficulties. The nurse should notify the provider immediately to prevent further harm. A: Potassium level within normal range is expected with furosemide. B: Dizziness upon standing is a common side effect of furosemide due to fluid loss and orthostatic hypotension. D: BUN level is within normal range and not a concern in this situation.