ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following medications should the nurse plan to administer to a client with myasthenia gravis who is in a cholinergic crisis?
Correct Answer: C
Rationale:
Rationale: In a cholinergic crisis, the client experiences excessive muscarinic effects due to overstimulation of the parasympathetic nervous system. Atropine is a cholinergic antagonist that blocks the effects of excessive acetylcholine, alleviating symptoms such as bradycardia, bronchoconstriction, and excessive secretions. Potassium iodide, glucagon, and protamine are not indicated for managing cholinergic crisis. Potassium iodide is used in thyroid emergencies, glucagon for beta-blocker overdose, and protamine for heparin overdose.
Question 2 of 5
Which of the following statements should the nurse include in the teaching about the new medication? Select the 2 statements the nurse should include in the teaching.
Correct Answer: B, D
Rationale: The nurse should include statements B and D in the teaching about the new medication. Statement B is important as it informs the patient about a potential side effect (constipation) of the medication, empowering them to monitor for and manage this issue. Statement D is crucial as certain medications can increase sensitivity to sunlight, leading to adverse effects. This instruction helps prevent potential harm. Statements A, C, E, F, and G are incorrect. Statement A is false because taking medication with dairy products can interfere with absorption. Statement C, E, F, and G are not relevant to the medication's specific instructions or potential side effects.
Question 3 of 5
A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramidWhich of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Check the client's blood glucose. This is the first action the nurse should take because metformin is used to treat diabetes by lowering blood glucose levels, while metoclopramide is used to treat gastrointestinal issues. Checking the client's blood glucose will help determine if any adverse effects have occurred due to the incorrect medication administration. Reporting the incident to the charge nurse (
A), notifying the provider (
B), and filling out an incident report (
D) are important steps to take but should come after ensuring the client's immediate safety and well-being.
Question 4 of 5
Which of the following interventions should the nurse include in the plan of care for a client who has hypertension and is to start taking metoprolol?
Correct Answer: B
Rationale: The correct answer is B: Determine apical pulse prior to administering. Metoprolol is a beta-blocker that can cause bradycardia as a side effect. By assessing the client's apical pulse before administering the medication, the nurse can monitor for any signs of bradycardia and adjust the dosage if necessary. Weighing the client weekly (choice
A) is not directly related to metoprolol administration. Administering the medication before breakfast (choice
C) may be a general recommendation for some medications but is not specific to metoprolol. Monitoring for jaundice (choice
D) is not a common side effect of metoprolol.
Question 5 of 5
For which of the following adverse effects should the nurse instruct the client taking acetazolamide for chronic open-angle glaucoma to monitor and report?
Correct Answer: A
Rationale: The correct answer is A, tingling of fingers. Acetazolamide is a diuretic that can lead to electrolyte imbalances, such as hypokalemia, causing tingling sensations in the extremities. Constipation (
B) is not a common side effect of acetazolamide. Weight gain (
C) is unlikely as acetazolamide is a diuretic that typically causes fluid loss. Oliguria (
D) is not a typical adverse effect of acetazolamide, as it is more likely to increase urine output.