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A nurse is preparing to administer warfarin to a client who has a new onset
of atrial fibrillation. The client asks the nurse, “What does this medication
do?” Which of the following responses should the nurse make?
a. “It helps your heart return to a normal rhythm.”
b. “It dissolves blood clots.”
c. “It can reduce your risk of having a stroke.”
d. “It helps to prevent bleeding in atrial fibrillation.”
Rationale: C. The nurse should identify that atrial fibrillation increases the
client’s risk of having a stroke due to clot formation in the atrium.
Warfarin can prevent clot formation when used long term, which will
reduce the client’s risk of having a stroke.
A nurse is caring for a client who has diabetes insipidus. Which of the
following laboratory values should the nurse identify as reflecting a
contraindication to receiving vasopressin to treat this disorder?
e. Sodium 152 mEq/L
f. Potassium 6.0 mEq/L
g. Creatinine clearance 50 mL/min
h. Aspartate aminotransferase (AST) 52 units/L
NURSING NUR2571Pharmacology ATI practice questions
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Rationale: C. Creatinine clearance should be above 87 mL/min for female
clients and above 107 mL/min for male clients. A creatinine clearance of 50
mL/min indicates renal impairment and is a contraindication to receiving
vasopressin. Renal impairment increases the likelihood of the life-
threatening adverse effect of water intoxication
A nurse is reviewing the medication history of a client who has mild
intermittent asthma. The nurse should anticipate a prescription for which of
the following inhalers for the client?
i. Ipratropium
j. Albuterol sulfate
k. Tiotropium
l. Budesonide
Rationale: B. The nurse should anticipate a client who has mild
intermittent asthma to be prescribed albuterol sulfate. Albuterol sulfate is a
short acting
NURSING NUR2571Pharmacology ATI practice questions
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beta2-agonist that activates beta2-receptors in the smooth muscle of the
lung, allowing the client’s airway and lungs to dilate, thereby relieving
bronchospasm and allowing the client to breathe.
A nurse is providing teaching to the parents of a child who has a new
prescription for lamotrigine for a seizure disorder. The nurse should instruct
the parents that which of the following adverse effects is the priority to report
to the provider?
oo.Diplopia pp.
Dizziness qq.
Rash
rr. Headache
Rationale: C. The greatest risk to this client is an injury from Stevens- Johnson
syndrome or toxic epidermal necrolysis, which are life-threatening reactions
that manifest initially as a rash in the first 2 to 8 weeks of treatment with
NURSING NUR2571Pharmacology ATI practice questions
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lamotrigine. The nurse should instruct the parents to report a rash immediately
to the provider.
A nurse is caring for a client who has a dry nonproductive cough. Which of
the following types of medication should the nurse recommend?
m. Expectorant
n. Mucolytic
o. Bronchodilator
p. Antitussive
Rationale: D. Antitussives suppress the cough reflex. Expectorants help
mobilize secretions. Mucolytics help liquefy secretions.
A nurse is caring for a client who has heart failure and is taking oral
furosemide 40 mg daily. For which of the following adverse effects should the
client be taught to monitor and notify the provider if it occurs?
q. Nasal congestion
r. Tremors
s. Tinnitus
t. Frontal headache
NURSING NUR2571Pharmacology ATI practice questions
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