ATI RN
ATI Pharmacology Proctored Exam 2023
1. A client has a new prescription for Atorvastatin. Which of the following instructions should the nurse include?
- A. Avoid drinking grapefruit juice.
- B. Take the medication with your evening meal.
- C. Increase your intake of leafy green vegetables.
- D. Stop taking the medication if you experience muscle pain.
Correct answer: A
Rationale: The correct answer is A: 'Avoid drinking grapefruit juice.' Grapefruit juice should be avoided when taking Atorvastatin because it can increase the blood levels of the medication, potentially leading to a higher risk of adverse effects like muscle pain and liver damage. It is important to follow this instruction to ensure the safe and effective use of Atorvastatin. Choices B, C, and D are incorrect. Taking Atorvastatin with food, specifically a low-fat meal, is recommended, but it is not necessary to specify the evening meal. While increasing intake of leafy green vegetables is generally beneficial for health, it is not a specific instruction for Atorvastatin. Lastly, stopping the medication if one experiences muscle pain is not advisable without consulting a healthcare provider, as muscle pain can be a symptom of a serious side effect of Atorvastatin that requires medical attention.
2. While reviewing a client's chart, a nurse notices a discrepancy in the medication record. What should the nurse do?
- A. Correct the discrepancy and document the correction.
- B. Report the discrepancy to the nurse manager.
- C. Ignore the discrepancy assuming it is a clerical error.
- D. Discuss the discrepancy with the client and adjust the records.
Correct answer: B
Rationale: Reporting medication discrepancies to the nurse manager is crucial to ensure patient safety and proper follow-up. The nurse manager is responsible for addressing medication errors and implementing necessary corrective actions. Choice A is incorrect because simply correcting the discrepancy without reporting it may lead to potential harm to the patient and violates professional standards. Choice C is incorrect as ignoring the discrepancy increases the risk of medication errors going unresolved. Choice D is incorrect because discussing the discrepancy with the client before verifying the accuracy of the record can cause confusion and compromise patient safety.
3. When interviewing a client recently diagnosed with lung cancer and having a 60-pack-year smoking history, what is the most important action for the nurse to take?
- A. Educate the client about the importance of quitting smoking to halt cancer progression.
- B. Encourage the client to disclose both tobacco and marijuana use openly.
- C. Maintain a nonjudgmental attitude to promote honest communication with the client.
- D. Provide realistic information about cancer treatment and prognosis without giving false hope.
Correct answer: C
Rationale: Maintaining a nonjudgmental attitude during the interview is crucial to create a safe environment where the client feels comfortable and open about disclosing their smoking history and other relevant information. This approach helps establish trust and facilitates an honest conversation which is essential for providing appropriate care and support to the client.
4. What does CREST stand for?
- A. Calcinosis, Raynaud’s, Esophageal dysmotility, Sclerodactyly and Telecines
- B. Calcinosis, Reverse isolation, Esophageal dysmotility, Sclerodactyly and Telangiectasia
- C. Calcinosis, Raynaud’s, Everted colon, Sclerodactyly and Telangiectasia
- D. Calcinosis, Raynaud’s Esophageal dysmotility, Sclerodactyly and telangiectasia
Correct answer: Calcinosis, Raynaud’s Esophageal dysmotility, Sclerodactyly and telangiectasia
Rationale:
5. What are the signs of infection that should be monitored in a postoperative patient?
- A. Fever and chills
- B. All of the above
- C. Increased pain or tenderness
- D. Redness, swelling, and warmth at the surgical site
Correct answer: D
Rationale: The correct answer is D: 'Redness, swelling, and warmth at the surgical site.' These are specific signs of infection at the surgical site that a nurse should monitor for in a postoperative patient. While fever, chills, and increased pain can also indicate infection, the most direct signs are redness, swelling, and warmth at the surgical site. Therefore, 'D' is the best choice as it directly relates to the site of the surgery and is crucial to monitor for potential postoperative infections.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99