ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
When taking a telephone order for a medication, which action by the nurse is most appropriate?
Correct Answer: D
Rationale: The most appropriate action is D: Call back the prescriber to review the order. This ensures accuracy and clarity, reducing the risk of errors. First, confirming directly with the prescriber is crucial as they are the source of the order. Second, it allows for any misunderstandings or discrepancies to be addressed immediately. Third, it demonstrates thoroughness and commitment to patient safety. Option A may delay the process and doesn't involve the prescriber directly. Option B involves a pharmacist not responsible for the order. Option C could lead to miscommunication if the prescriber made an error. Options E, F, and G are not provided, but they would likely be incorrect as they are not standard procedures for verifying orders.
Question 2 of 5
During therapy with the hematopoietic drug epoetin alfa, the nurse instructs the client about adverse effects that may occur, such as:
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Epoetin alfa stimulates red blood cell production, leading to increased blood viscosity, which can result in hypertension. Anxiety (
A) is not a commonly reported adverse effect. Constipation (
B) and drowsiness (
C) are not directly related to epoetin alfa therapy.
Therefore, they are incorrect choices.
Question 3 of 5
A client has been taking iron supplements for anemia for 2 months. During a follow-up assessment, the nurse will observe for which therapeutic response?
Correct Answer: B
Rationale: The correct answer is B: Increased activity tolerance. Iron supplements help increase red blood cell production, improving oxygen delivery to tissues. This can lead to increased energy levels and improved ability to engage in physical activity. Decreased palpitations (choice
A) may be seen if the anemia is resolving, but it is not a direct therapeutic response to iron supplementation. Decreased weight (choice
C) and increased appetite (choice
D) are not commonly associated with iron supplementation for anemia.
Question 4 of 5
A client who has received some traumatic news is panicking and asks for some medication to help settle down. The nurse anticipates giving which drug that is most appropriate for this situation?
Correct Answer: B
Rationale: The correct answer is B: Diazepam. Diazepam belongs to the benzodiazepine class of medications and is commonly used to manage anxiety and panic attacks. It works by enhancing the effects of a neurotransmitter in the brain that helps calm the individual down. Zolpidem (
A) is a sedative-hypnotic primarily used for insomnia, not panic attacks. Cyclobenzaprine (
C) is a muscle relaxant and not indicated for anxiety. Phenobarbital (
D) is a barbiturate mainly used as an anticonvulsant or sedative, not for panic attacks.
Question 5 of 5
A nurse is providing teaching a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct instructions to include are A, B, and C.
Choice A is correct because methotrexate can suppress the immune system, making the client more susceptible to infections.
Choice B is important to prevent the spread of infections to the client, especially since their immune system may be compromised.
Choice C is correct because alcohol can increase the risk of liver damage when taking methotrexate.
Choices D and E are incorrect. Smoking can affect methotrexate's effectiveness, and the medication's effects are not immediate.