QUESTIONS & ANSWERS LATEST UPDATE 2021/2023
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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 with premenstrual disorder (PMD) who has a
prescription for fluoxetine. The client asks the nurse, “When should I notice the
benefits of this medication?” Which of the following responses should the
nurse make?
NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
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ss. “You should expect decreased manifestations within a few days.”
tt. “Manifestations decrease after about 2 months.”
uu.“You should expect decreased manifestations immediately.”
vv. “Manifestations will decrease after several weeks.”
Rationale: A. The nurse should inform the client that fluoxetine is a
selective serotonin reuptake inhibitor (SSRI) used to treat PMD. Unlike
using fluoxetine to treat depression, using fluoxetine to treat PMD will
improve manifestations more quickly.
A nurse is caring for a client who has bronchitis and a prescription for a
mucolytic agent. Which of the following findings should the nurse identify
as an adverse effect of this type of medication?
ww. Fluid overload
xx.Bronchospasm
yy. Electrolyte
imbalance zz.
Tachycardia
Rationale: B. The nurse should identify that bronchospasm is an adverse
reaction to a mucolytic agent. Mucolytic agent as a hypertonic saline
solution or acetylcysteine can irritate the airways, resulting in bronchospasm
NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
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while producing a cough and thinning mucus secretions.
A nurse working in a mental health facility is admitting a client with opioid use
disorder who is experiencing withdrawal. The nurse should anticipate a
prescription for which of the following medications from the provider?
aaa.Methylnaltrexone
bbb. Methadone
ccc.Naloxone
ddd. Hydromorphone
Rationale: B. The nurse should anticipate a prescription from the
provider for methadone for a client who is experiencing opioid
withdrawal.
Methadone is an opioid medication that is used for pain management and
treatment of withdrawal manifestations in clients who have opioid use
disorder. Methylnaltrexone is an opioid antagonist used to treat opioid
induced constipation for client who have not responded to laxatives.
Naloxone is an opioid antagonist used to treat opioid overdose. Naloxone is
NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
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used cautiously in clients who have opioid use disorder because it can cause
acute opioid withdrawal. Hydromorphone is a strong opioid used to treat
moderate to severe pain.
A nurse is preparing to administer medications to a client who is NPO and is
receiving enteral feedings through an NG tube. Which of the following
prescriptions should the nurse clarify with the provider?
eee.Aspirin EC 325 mg per NG tube daily
fff.Atorvastatin 40 mg per NG tube daily
ggg. Propranolol 20 mg per NG tube daily
hhh. Sucralfate 2 g oral suspension per NG tube BID
Rationale: A. The nurse should clarify the prescription for aspirin EC
325 mg per NG tube daily, as enteric-coated tablets should not be
crushed.
A nurse is teaching a client who has type 1 diabetes mellitus about a new
subcutaneous insulin infusion pump. Which of the following pieces of
information should the nurse include in the teaching?
iii. Plan to use a type of short-duration insulin in the infusion
pump jjj. Replace the infusion pump set every 4 days
NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
QUESTIONS & ANSWERS LATEST UPDATE 2021/2023
GRADED A+