ATI RN
ATI Pharmacology 2023 Questions
Extract:
Nurses' Notes
Laboratory Results
0900:
The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year.
Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn.
A nurse is caring for a female client in a provider's office.
Question 1 of 5
For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided. Options: A. 'If I experience black stools, I should notify my provider.' B. 'I should avoid taking antacids while on this medication.' C. 'I should take my medications on an empty stomach.' D. 'I should rinse my mouth after taking this medication.' E. 'I should take this medication with orange juice.'
Correct Answer: B,D,E
Rationale:
Correct Answer: B, D, E
Explanation:
B. "I should avoid taking antacids while on this medication." - Correct. Antacids can interfere with the absorption of certain medications.
D. "I should rinse my mouth after taking this medication." - Correct. Some medications can cause oral irritation, so rinsing the mouth is necessary.
E. "I should take this medication with orange juice." - Incorrect. Taking medication with specific juices can affect absorption. It is not recommended to take this medication with orange juice.
Extract:
Question 2 of 5
A nurse is caring for a client who started haloperidol five days ago and is experiencing neuroleptic malignant syndrome. Which of the following prescriptions should the nurse anticipate administering?
Correct Answer: C
Rationale:
Rationale: The correct answer is C: Bromocriptine. Bromocriptine is a dopamine agonist that can help in the treatment of neuroleptic malignant syndrome (NMS) by reducing dopamine levels in the brain. NMS is characterized by hyperthermia, muscle rigidity, altered mental status, and autonomic dysfunction. Bromocriptine helps counteract the excessive dopamine levels that contribute to NMS symptoms.
Summary of other choices:
A: Benztropine is an anticholinergic medication used to treat extrapyramidal symptoms but not NMS.
B: Naloxone is an opioid receptor antagonist used to reverse opioid overdose, not indicated for NMS.
D: Diphenhydramine is an antihistamine used for allergic reactions and sedation, not for NMS treatment.
Question 3 of 5
A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D: Respiratory rate 10/min. A decreased respiratory rate is indicative of respiratory depression, a serious adverse reaction to morphine. Morphine is a central nervous system depressant that can slow down the respiratory drive, leading to hypoventilation and potentially respiratory arrest. In contrast, choices A, B, and C are within normal limits and not specific to morphine adverse effects. A high blood pressure may be seen with pain or anxiety, while a normal temperature and heart rate are not typically affected by morphine.
Therefore, the respiratory rate is the most critical vital sign to monitor for adverse reactions to IV morphine.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Blurred vision. Carbamazepine is known to cause ocular side effects, including blurred vision. The rationale is that carbamazuepine can lead to changes in the eye's ability to focus, causing blurred vision as a common adverse effect. This is important for the client to monitor because it can impact their daily activities and driving. The other choices, B: Insomnia, C: Metallic taste, and D: Tachypnea, are not typically associated with carbamazepine use. Insomnia is more commonly seen with stimulant medications, metallic taste is associated with certain antibiotics, and tachypnea is not a common side effect of carbamazepine.
Therefore, the correct answer is A because it directly relates to the medication's known adverse effects.
Question 5 of 5
A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: Decreased wheezing. Theophylline is a bronchodilator used to treat respiratory conditions like asthma by relaxing the muscles in the airways. When theophylline is effective, it helps to open up the airways, leading to decreased wheezing. This indicates improved airflow and better respiratory function. Increased blood pressure (
A) is not a direct indication of theophylline effectiveness. Decreased urine output (
C) could suggest dehydration or kidney issues, not necessarily related to theophylline. Increased level of consciousness (
D) is a general assessment parameter and not specific to theophylline effectiveness.