ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
When teaching a client who is beginning antilipemic therapy about possible drug-food interactions, the nurse will discuss which food?
Correct Answer: A
Rationale: The correct answer is A: Grapefruit juice. Grapefruit juice can interact with antilipemic medications, specifically statins, leading to increased drug levels in the bloodstream. This can result in potential adverse effects. Grapefruit juice inhibits the enzyme responsible for metabolizing these medications. Dairy products (
B), bran muffins (
C), and licorice (
D) do not have significant interactions with antilipemic drugs.
Question 2 of 5
Before beginning a client's therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants, the nurse will assess for concurrent use of which medications or medication class?
Correct Answer: C
Rationale: The correct answer is C: Nonsteroidal anti-inflammatory drugs (NSAIDs). SSRIs can increase the risk of bleeding when taken with NSAIDs due to their effects on platelet function. Assessing for concurrent use helps prevent potential complications. A: Anticoagulants and D: Aspirin can also increase bleeding risk, but NSAIDs have a more direct interaction with SSRIs. B: Diuretics do not have a significant interaction with SSRIs in terms of bleeding risk.
Question 3 of 5
A nurse is preparing to administer clindamycin palmitate 225 mg PO every 8 hr to a client. The amount available is clindamycin palmitate oral suspension 75 m/5mL. How many ml- should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the correct amount of clindamycin palmitate oral suspension to administer, we first need to determine the total daily dose (675 mg) by multiplying the dose per administration (225 mg) by the frequency (3 times a day).
Then, we divide the total daily dose by the concentration of the oral suspension (75 mg/5 mL) to find the total volume needed per day (45 mL). Since this total volume is divided into 3 doses per day, the nurse should administer 15 mL each time.
Therefore, the correct answer is A: 15 mL. Other choices are incorrect because they do not follow the precise calculation based on the given information.
Question 4 of 5
The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply.
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. Increased heart rate and blood pressure are classic signs of sympathetic nervous system stimulation due to the release of adrenaline, preparing the body for "fight or flight." Decreased salivation is also a common response as the body prioritizes blood flow to essential organs over digestive processes during stress.
Choices C and E are incorrect as they are not typical signs of sympathetic nervous system stimulation.
Question 5 of 5
Before administering any medication, what is the nurse's priority action regarding client safety?
Correct Answer: C
Rationale: The correct answer is C: Checking the client's identification using two identifiers. This is the priority action to ensure the right medication is given to the right patient, a critical aspect of client safety. Verifying orders with another nurse (Option
A) is important but not the priority before administering medication. Counting medications in the cart drawers (Option
B) is part of the medication preparation process and is not the immediate priority for client safety. Documenting medications given (Option
D) is important for legal and record-keeping purposes but comes after ensuring the correct patient receives the right medication.