ATI RN
ATI Pharmacology Proctored Exam 2023 Questions
Question 1 of 5
A client in an acute care facility is receiving IV Nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication?
Correct Answer: C
Rationale: The correct answer is C: Delirium. When IV Nitroprusside is infused at high dosages, it can lead to thiocyanate toxicity, causing mental status changes such as delirium. It is crucial to monitor the thiocyanate levels to ensure they remain below 10 mg/dL during therapy to prevent adverse effects.
Question 2 of 5
A healthcare provider is providing discharge instructions to a client who is prescribed Enalapril. Which of the following adverse effects should the healthcare provider instruct the client to monitor?
Correct Answer: A
Rationale: A persistent dry cough is a common adverse effect of Enalapril, an ACE inhibitor. This cough is a result of increased bradykinin levels due to ACE inhibition. The client should be educated to monitor for a dry cough and notify the healthcare provider if it occurs, as it may indicate the need for a medication adjustment.
Question 3 of 5
When teaching a client with a new prescription for Warfarin, which herbal supplement should the nurse instruct the client to avoid?
Correct Answer: A
Rationale: The correct answer is St. John's wort. St. John's wort can reduce the effectiveness of Warfarin by interacting with its metabolism, potentially leading to decreased anticoagulant effects. Therefore, the nurse should instruct the client to avoid using St. John's wort while taking Warfarin to prevent adverse drug interactions. Additionally, it is essential to educate the client about other herbal supplements like garlic and ginseng, which may also interact with Warfarin and should be avoided to ensure the medication's efficacy and safety.
Question 4 of 5
A client is prescribed Digoxin. Which of the following findings should the nurse monitor as a sign of potential toxicity?
Correct Answer: A
Rationale: Bradycardia is a common sign of Digoxin toxicity. Digoxin, a medication used to treat heart conditions, can lead to toxicity manifesting as bradycardia. Monitoring the client's heart rate closely is crucial to detect potential toxicity early and prevent complications.
Question 5 of 5
A nurse is providing discharge instructions to a client who is prescribed Warfarin. Which of the following dietary instructions should the nurse include?
Correct Answer: B
Rationale: Vitamin K can interfere with the effectiveness of Warfarin. Clients should avoid foods high in vitamin K, such as leafy green vegetables.
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