ATI Pharmacology Proctored Exam 2023

Questions 120

ATI RN

ATI RN Test Bank

ATI Pharmacology Proctored Exam 2023 Questions

Question 1 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 2 of 5

A client informs a healthcare professional about taking Gingko Biloba. Which of the following medications is contraindicated for a client using Gingko Biloba?

Correct Answer: B

Rationale: Warfarin is contraindicated for a client taking Gingko Biloba due to the potential interaction that can lead to suppressed coagulation and an increased risk of bleeding or hemorrhage. Warfarin is an anticoagulant, and when combined with Gingko Biloba, which also has anticoagulant properties, the risk of bleeding complications is significantly heightened.

Question 3 of 5

A client has a new prescription for Verapamil. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: The correct answer is to instruct the client to avoid drinking grapefruit juice. Grapefruit juice can inhibit the metabolism of Verapamil, leading to increased blood levels of the medication, which can potentiate its effects, potentially causing adverse reactions like hypotension and bradycardia.

Question 4 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 administered at high dosages, it can lead to thiocyanate toxicity, resulting in mental status changes such as delirium. Monitoring thiocyanate levels during therapy is crucial to ensure they remain below 10 mg/dL to prevent this adverse reaction.

Question 5 of 5

A client is receiving treatment with capecitabine. Which of the following findings should the nurse monitor?

Correct Answer: C

Rationale: Capecitabine is known to cause neutropenia as a common adverse effect due to bone marrow suppression. Neutropenia increases the risk of infections and requires close monitoring to prevent complications.

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