ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following medications interacts with carbamazepine?
Correct Answer: C
Rationale: The correct answer is C: Estrogen-progestin combination (Non-hormonal forms of contraception). Carbamazepine induces the metabolism of estrogen and progestin, reducing their effectiveness and potentially leading to contraceptive failure. Nicotine (choice
A) does not interact with carbamazepine. Diphenhydramine (choice
B) is an antihistamine and does not have a significant interaction with carbamazepine. Beclomethasone (choice
D) is a corticosteroid inhaler and does not interact with carbamazepine.
Question 2 of 5
Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism in a client taking haloperidol?
Correct Answer: B
Rationale: The correct answer is B: Shuffling gait. Pseudoparkinsonism is a side effect of haloperidol characterized by symptoms resembling Parkinson's disease. A shuffling gait, along with tremors, rigidity, and bradykinesia, are common manifestations. A serpentine limb movement (
A) is not typically associated with pseudoparkinsonism. Nonreactive pupils (
C) are more indicative of other conditions like opioid overdose. Smacking lips (
D) may suggest tardive dyskinesia, another side effect of antipsychotic medications.
Question 3 of 5
For which of the following client outcomes should the nurse administer chlordiazepoxide to a client experiencing acute alcohol withdrawal?
Correct Answer: D
Rationale: The correct answer is D: Prevent delirium tremens. Chlordiazepoxide is a benzodiazepine used to manage acute alcohol withdrawal symptoms, including preventing the development of delirium tremens, a severe, life-threatening complication. It works by calming the central nervous system and reducing the risk of seizures and hallucinations associated with alcohol withdrawal.
Choices A, B, and C are incorrect as chlordiazepoxide does not directly address diaphoresis, maintaining abstinence, or lessening cravings. These outcomes are more related to behavioral and psychological interventions rather than pharmacological management of alcohol withdrawal symptoms.
Question 4 of 5
The nurse is ready to begin the blood transfusion. For each potential nursing action, click to specify if the action is indicated or not indicated for the client. Nursing Action: Document the blood product transfusion in the client's medical record.
Correct Answer: A
Rationale: The correct answer is A: Indicated. Documenting the blood product transfusion in the client's medical record is crucial for ensuring accurate and comprehensive patient care. Documentation provides a permanent record of the procedure, including details such as the type and volume of blood product transfused, vital signs before and after the transfusion, any signs of adverse reactions, and the client's response to the transfusion. This information is essential for tracking the client's progress, monitoring for any potential complications, and communicating effectively with other healthcare providers involved in the client's care. Failure to document the blood transfusion could lead to errors in treatment, potential legal issues, and compromise the quality of care provided to the client.
Summary:
B: Not indicated - Incorrect. Documenting the blood transfusion is essential for patient safety and continuity of care.
C: -
D: -
E: -
F: -
G: -
Question 5 of 5
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribeWhich of the following information should the nurse enter as a complete documentation of the incident?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Option B provides a complete documentation of the incident by stating the specific IV fluid, volume, rate, and duration of infusion, along with the client's vital signs and the action taken (provider notified). This information is crucial for accurately documenting the deviation from the prescribed infusion rate and the client's response.
Summary of Other
Choices:
A: Does not mention vital signs or completion of the infusion. Lacks specificity.
C: Does not address the deviation in the infusion rate or vital signs. Irrelevant information.
D: Mentions the initiation time and lung sounds, but does not address the deviation in infusion rate or client response.
E: Similar to option B but lacks specificity regarding the duration of the infusion.