ATI RN
ATI Pharmacology Proctored Exam 2023 Questions
Question 1 of 5
A client has a new prescription for Losartan. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Losartan, an angiotensin II receptor blocker (ARB), can cause hyperkalemia. The nurse should monitor the client's serum potassium levels closely because Losartan can increase potassium levels, potentially leading to serious complications such as arrhythmias.
Question 2 of 5
A client is receiving spironolactone. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A serum potassium level of 5.2 mEq/L indicates hyperkalemia. Spironolactone is a potassium-sparing diuretic that can lead to potassium retention. The nurse should notify the provider and withhold the medication to prevent further elevation of potassium levels, which can result in serious cardiac complications.
Question 3 of 5
A client has a new prescription for Clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: B
Rationale: Dry mouth is a common adverse effect associated with Clonidine use. Clonidine is known to cause a reduction in saliva production, leading to dry mouth. Monitoring for this adverse effect is essential to ensure client comfort and compliance with the medication.
Question 4 of 5
A patient on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness?
Correct Answer: C
Rationale: In older adults, reduced hepatic function can lead to prolonged effects of medications metabolized by the liver. This prolonged effect may result in drowsiness the next morning. Adjusting the dosage of the hypnotic medication may be necessary for this client.
Question 5 of 5
A healthcare provider is caring for several clients who came to the clinic for a seasonal influenza immunization. The provider should identify that which of the following clients is a candidate to receive the vaccine via nasal spray rather than an injection?
Correct Answer: B
Rationale: The correct answer is B. A 17-year-old can receive the influenza vaccine via nasal spray (LAIV) even if they have a hypersensitivity to penicillin, as this is not a contraindication for the influenza immunization. Therefore, in this scenario, the 17-year-old with a hypersensitivity to penicillin is a candidate for the nasal spray vaccine.
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