ATI RN
ATI Pharmacology Assessment 1 Questions
Extract:
Nurses' Notes
History and Physical
Vital Signs
Physical Examination Results
5 weeks ago:
The client reports experiencing persistent insomnia and anxiety. She has been feeling increasingly restless and has lost weight despite having an increased appetite. Her skin is warm and moist. Speech is rapid, and she seems anxious and fidgety during the assessment. She denies any abdominal discomfort or issues with digestion. Lung sounds are clear to auscultation, and her abdomen is soft with normoactive bowel sounds. The client was instructed to undergo lab work and return for follow-up in 4 weeks.
Today:
The client reports some improvement but still experiences occasional anxiety. She states she has been sleeping better for the past week and her appetite remains unchanged. The nurse notes her skin is warm but now dry. Her lung sounds are clear, and her abdomen remains soft and non-tender with normoactive bowel sounds. The client expresses that she still feels anxious at times but believes her symptoms are improving.
Question 1 of 5
Select the 4 findings that indicate an improvement in the client's condition.
| Temperature |
| Mood |
| Weight |
| Sleep pattern |
| Heart rate |
| Abdominal findings |
Correct Answer: B,C,D,E
Rationale: Improved mood, weight gain, better sleep, and reduced heart rate indicate improvement in the client's condition.
Extract:
Question 2 of 5
A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy?
Correct Answer: D
Rationale: Losartan is an angiotensin II receptor blocker (AR
B) that helps manage hypertension and has been shown to slow the progression of nephropathy in patients with type 2 diabetes.
Question 3 of 5
A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider?
Correct Answer: C
Rationale: An allergy to atropine is significant because ipratropium is chemically related to atropine, which could lead to a severe allergic reaction.
Question 4 of 5
A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?
Correct Answer: B
Rationale: Increased urinary output is the expected therapeutic effect of bumetanide. As a potent loop diuretic, bumetanide increases the excretion of water and electrolytes.
Question 5 of 5
A nurse is caring for a client who requires a transfusion of one unit of packed RBCs. The nurse receives the following prescription: “Diphenhydramine 50 mg by mouth once, one hour prior to transfusion.â€. The nurse should identify this as which of the following types of prescription?
Correct Answer: C
Rationale: A single prescription is a one-time order for a specific medication to be given at a specific time. In this case, diphenhydramine 50 mg by mouth once, one hour prior to transfusion, fits the definition of a single prescription.