ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: A client who has a prescription for heparin and an aPTT of 90 seconds. A prolonged aPTT indicates a risk for bleeding due to excessive anticoagulation, which can be a serious adverse effect of heparin therapy. The normal range for aPTT is 30-40 seconds.
Therefore, a value of 90 seconds is significantly above the normal range and should be reported to the provider for appropriate action, such as adjusting the heparin dose.
Choice B is incorrect because an aPTT of 65 seconds falls within the normal range for heparin therapy.
Choices C and D are incorrect because the INR values provided are within the normal range for warfarin therapy, so they do not require immediate reporting to the provider.
In summary, the nurse should report the client with a heparin prescription and an aPTT of 90 seconds to the provider due to the risk of bleeding, while the
Question 2 of 5
For which of the following adverse effects should the nurse monitor a client who is prescribed metoclopramide following bowel surgery?
Correct Answer: B
Rationale: The correct answer is B: Sedation. Metoclopramide is a medication that can cause sedation as a side effect. Following bowel surgery, sedation can affect the client's ability to recover and participate in post-operative activities. Muscle weakness (
A), tinnitus (
C), and peripheral edema (
D) are not commonly associated with metoclopramide use. Monitoring for sedation is crucial to ensure the client's safety and well-being postoperatively.
Question 3 of 5
Which of the following information should the nurse include in the teaching about medication reconciliation?
Correct Answer: C
Rationale:
Rationale: Option C is correct because a transition in care, such as admission or discharge, necessitates medication reconciliation to ensure patient safety. This process involves comparing the medications a patient is currently taking with newly prescribed medications. Option A is incorrect as medication reconciliation is a collaborative effort involving healthcare providers, not just the client's provider. Option B is incorrect because medication reconciliation should encompass all medications the client is taking, not just those ordered at discharge. Option D is incorrect as medication reconciliation should include details like dosages and frequencies, not just names.
Question 4 of 5
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol.Which of the following actions should the nurse take first when discovering a medication error in which atenolol was given instead of allopurinol to a client with gout?
Correct Answer: A
Rationale: The correct action the nurse should take first when discovering the medication error of atenolol instead of allopurinol in a client with gout is to obtain the client's blood pressure. This is because atenolol is a beta-blocker commonly used to treat hypertension, and its administration may lower the client's blood pressure.
Therefore, checking the client's blood pressure is crucial to assess any potential adverse effects of atenolol. Contacting the client's provider (choice
B) can be done after ensuring the client's safety by checking blood pressure. Informing the charge nurse (choice
C) can be the next step to report the error. Completing an incident report (choice
D) is important but should not be the first action as immediate client assessment takes priority.
Question 5 of 5
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspneWhich of the following medications should the nurse administer first?
Correct Answer: C
Rationale: The correct answer is C: Epinephrine. Epinephrine is the first-line medication for anaphylaxis, which is a severe allergic reaction that can present with symptoms such as anxiety, hypotension, and difficulty breathing. Administering epinephrine promptly can help reverse these symptoms by constricting blood vessels, increasing heart rate, and opening up airways, thus improving blood pressure and breathing. Diphenhydramine (
A) is an antihistamine that can be used as an adjunct therapy but is not the first-line treatment for anaphylaxis. Albuterol inhaler (
B) is used for bronchospasm and would not address the hypotension. Prednisone (
D) is a corticosteroid that is used for its anti-inflammatory effects but is not the first choice for acute anaphylaxis.