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ATI RN PHARMACOLOGY PROCTORED EXAM A & B 2023 WITH NGN A+ VERIFIED QUESTIONS AND ANSWERS
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ATI RN PHARMACOLOGY PROCTORED EXAM A & B 2023 WITH NGN A+ VERIFIED QUESTIONS AND ANSWERS
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ATI RN PHARMACOLOGY PROCTOREDLATEST EXAM A & B 2024 WITH NGN A+
VERIFIED QUESTIONS AND ANSWERS
WITH RATIONALES
1. A nurse is providing teaching to a client who is taking digoxin
(Lanoxin) for heart failure. Which of the following instructions
should the nurse include?
A. Take the medication with food.
B. Avoid taking antacids at the same time.
C. Increase intake of potassium-rich foods.
D. Stop taking the medication if you experience nausea.
Answer: B. Avoid taking antacids at the same time.
Rationale: Antacids can decrease the absorption of digoxin,
leading to decreased effectiveness. Clients should be instructed to
avoid taking antacids at the same time as digoxin.
2. A nurse is caring for a client who has a new prescription for
warfarin (Coumadin). Which of the following statements
indicates that the client understands the teaching?
A. "I will use a straight razor to shave."
B. "I will avoid eating spinach."
C. "I will take aspirin for my headaches."
D. "I will increase my intake of green, leafy vegetables."
, Answer: B. "I will avoid eating spinach."
Rationale: Spinach is high in vitamin K, which can decrease the
effectiveness of warfarin. Clients on warfarin should be instructed
to maintain a consistent intake of vitamin K and avoid sudden
increases.
3. A client is prescribed lithium carbonate for bipolar disorder.
Which of the following findings indicates lithium toxicity?
A. Fine hand tremors
B. Polyuria
C. Severe nausea and vomiting
D. Increased thirst
Answer: C. Severe nausea and vomiting
Rationale: Severe nausea and vomiting, along with diarrhea,
drowsiness, muscle weakness, and lack of coordination, are signs
of lithium toxicity. Clients should be monitored for these
symptoms.
4. A nurse is teaching a client about the adverse effects of aspirin.
Which of the following adverse effects should the nurse
include?
A. Constipation
B. Tinnitus
C. Bradycardia
D. Hyperglycemia
Answer: B. Tinnitus
, Rationale: Tinnitus (ringing in the ears) is a common adverse
effect of aspirin, especially with higher doses or prolonged use. It
may indicate salicylate toxicity.
5. A nurse is preparing to administer an IV antibiotic to a client
with a severe infection. Which of the following actions should
the nurse take first?
A. Select the appropriate size IV catheter.
B. Review the client's allergy history.
C. Obtain the prescribed antibiotic from the pharmacy.
D. Check the client's baseline vital signs.
Answer: B. Review the client's allergy history.
Rationale: Reviewing the client's allergy history is the priority
action to prevent a potential allergic reaction, which can be life-
threatening.
6. A client is prescribed metformin for type 2 diabetes mellitus.
Which of the following instructions should the nurse provide?
A. Take the medication on an empty stomach.
B. Expect to gain weight while on this medication.
C. Discontinue the medication if your blood glucose is within
normal range.
D. Monitor for signs of lactic acidosis.
Answer: D. Monitor for signs of lactic acidosis.
, Rationale: Metformin can cause lactic acidosis, a rare but serious
complication. Clients should be instructed to monitor for
symptoms such as muscle pain, fatigue, and difficulty breathing.
7. A nurse is teaching a client about the use of nitroglycerin for
angina. Which of the following instructions should the nurse
include?
A. Swallow the tablet whole.
B. Place the tablet under your tongue.
C. Take the medication with food.
D. Store the medication in a humid environment.
Answer: B. Place the tablet under your tongue.
Rationale: Nitroglycerin should be placed under the tongue
(sublingual) for rapid absorption to quickly relieve angina.
8. A nurse is providing discharge instructions to a client who is
prescribed furosemide (Lasix). Which of the following
information should the nurse include?
A. "You may experience a decreased appetite."
B. "Avoid foods high in potassium."
C. "Take the medication at bedtime."
D. "Monitor your weight daily."
Answer: D. "Monitor your weight daily."
Rationale: Daily weight monitoring helps to track fluid balance
and the effectiveness of diuretic therapy, as well as detect potential
fluid retention or dehydration.
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