ATI RN
Proctored Pharmacology ATI Questions
Question 1 of 5
A client is taking atorvastatin for hyperlipidemia. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: C
Rationale: Muscle pain should be reported immediately as it can indicate rhabdomyolysis, a severe adverse effect of atorvastatin. Rhabdomyolysis is characterized by muscle pain, weakness, and can lead to serious complications such as kidney damage, making it crucial for the nurse to notify the provider promptly.
Question 2 of 5
Which drug undergoes extensive first-pass hepatic metabolism?
Correct Answer: C
Rationale: Propranolol undergoes extensive first-pass metabolism in the liver. When administered orally, propranolol is extensively metabolized by the liver before reaching systemic circulation, leading to reduced bioavailability. This process is known as first-pass hepatic metabolism, which significantly affects the drug's effectiveness and necessitates higher oral doses compared to other routes of administration.
Question 3 of 5
A client with Depression has a new prescription for Venlafaxine. For which of the following adverse effects should the nurse monitor this client? (Select all that apply)
Correct Answer: D
Rationale: Dizziness and decreased libido are common adverse effects of Venlafaxine. Cough and alopecia are not typical side effects of this medication.
Question 4 of 5
A client has a new prescription for Levothyroxine to treat hypothyroidism. Which of the following instructions should be included in the teaching?
Correct Answer: D
Rationale: The correct instruction for the client who has a new prescription for Levothyroxine to treat hypothyroidism is not to discontinue the medication without consulting the provider. Abrupt cessation could lead to the return of hypothyroid symptoms, emphasizing the importance of medical guidance when considering any changes to the treatment plan.
Question 5 of 5
A client with congestive heart failure taking digoxin refused breakfast and is complaining of nausea and weakness. Which action should the nurse take first?
Correct Answer: A
Rationale: The nurse should check the client's vital signs first because nausea and weakness can be signs of digoxin toxicity. Vital signs can provide immediate information on the client's condition and help guide further interventions.
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