ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following over-the-counter medications should the nurse identify that the client should discontinue when starting lithium?
Correct Answer: B
Rationale: The correct answer is B: Ibuprofen. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAI
D) that can increase lithium levels and lead to toxicity. NSAIDs compete with lithium for renal excretion, resulting in higher lithium levels. Aspirin (choice
A) is not typically contraindicated with lithium. Famotidine (choice
C) and Bisacodyl (choice
D) do not have significant interactions with lithium.
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. After bowel surgery, sedation can mask signs of postoperative complications such as abdominal pain or changes in vital signs. Muscle weakness (
A), tinnitus (
C), and peripheral edema (
D) are not common adverse effects of metoclopramide and would not typically be monitored for in this situation. Sedation is the most relevant adverse effect to monitor for in a client post-bowel surgery, as it can impact the assessment and management of their recovery.
Question 3 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 commonly used to treat glaucoma. Tingling of fingers is associated with electrolyte imbalances caused by the drug's diuretic effect. This symptom may indicate hypokalemia, a potential side effect of acetazolamide. Monitoring and reporting this symptom promptly can prevent serious complications.
Other choices are incorrect because:
B: Constipation is not a common side effect of acetazolamide.
C: Weight gain is unlikely as acetazolamide is a diuretic causing fluid loss.
D: Oliguria, decreased urine output, is not a usual side effect of acetazolamide.
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 lower heart rate. By assessing the apical pulse before administering, the nurse can ensure the heart rate is within the safe range for medication administration. Weighing the client weekly (
A) is not directly related to metoprolol therapy. Administering the medication 30 minutes before breakfast (
C) is not specific timing for metoprolol. Monitoring for jaundice (
D) is not a common side effect of metoprolol.
Question 5 of 5
Which of the following medications should the nurse anticipate administering to a client who has taken a large amount of diazepam?
Correct Answer: C
Rationale: The correct answer is C: Flumazenil. Flumazenil is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose, such as diazepam. It competes with benzodiazepines at the receptor site, reversing their sedative and hypnotic effects. Ondansetron (
A) is an antiemetic, Magnesium Sulphate (
B) is used for various conditions like pre-eclampsia, Protamine Sulphate (
D) is used to reverse heparin anticoagulation. Flumazenil is the most appropriate choice for reversing the effects of diazepam overdose.