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ATI PHARMACOLOGY 2023 ASSESSMENT B
QUESTIONS WITH CORRECT SOLUTIONS
A nurse is administering digoxin immune Fab to a client following a medication
error. Which of the following findings should the nurse identify as an indication
that the medication was effective?
A. Sinus rhythm
B. A decrease in the platelet count
C. An increase in the alanine transaminase (ALT) level
D. Deep tendon reflexes 2+-correct-answer-A. Sinus rhythm
Rationale:
Digoxin immune Fab is the antidote for digoxin toxicity. Dysrhythmias are a life-
threatening adverse effect of digoxin toxicity. Therefore, the return of the client's
heart to a sinus rhythm indicates a therapeutic response to the antidote, digoxin
immune Fab.
A decrease in the client's platelet count is not evidence of a therapeutic response
to digoxin immune Fab, the antidote for digoxin toxicity.
A decrease in the client's ALT level is not evidence of a therapeutic response to
digoxin immune Fab, the antidote for digoxin toxicity.
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Deep tendon reflexes 2+ is not evidence of a therapeutic response to digoxin
immune Fab, the antidote for digoxin toxicity.
A nurse is teaching a client about warfarin. The client asks if they can take aspirin
while taking warfarin. Which of the following responses should the nurse make?
A. "It is safe to take an enteric-coated aspirin."
B. "The INR lab work must be monitored more frequently if aspirin is taken."
C. "Acetaminophen may be substituted for aspirin."
D. "Aspirin will increase the risk of bleeding."-correct-answer-D. "Aspirin will
increase the risk of bleeding."
Rationale:
Aspirin inhibits platelet aggregation and can potentiate the action of the
anticoagulant warfarin. Therefore, the client should avoid taking aspirin because it
increases the risk for bleeding.
Although it is common for clients to consider an occasional aspirin harmless,
salicylates inhibit platelet aggregation and increase the potential for hemorrhage.
Therefore, the client should avoid taking enteric-coated aspirin.
The client should continue to follow the provider's prescription for monitoring the
PT and INR levels to adjust warfarin dosages. However, the nurse should
discourage the client from using aspirin products because these medications
increase the antiplatelet action of the warfarin and can result in bleeding.
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Acetaminophen, an analgesic, can potentiate the action of the anticoagulant
warfarin when administered in high doses and is not a safe substitute for aspirin.
A nurse is preparing to administer 0.9% sodium chloride 1,500 mL to infuse over 8
hr to a client who is postoperative. How many mL/hr should the nurse set the IV
pump to deliver?-correct-answer-188 mL/hr
Rationale:
Step 1: What is the unit of measurement the nurse should calculate? mL/hr
Step 2: What is the volume the nurse should infuse? 1,500 mL
Step 3: What is the total infusion time? 8 hr
Step 4: Should the nurse convert the units of measurement? No
Step 5: Set up an equation and solve for X.
Volume (mL)X mL/hr = Time (hr)
1,500 mLX mL/hr = 8 hr
X mL/hr = 187.5 mL/hr
Step 6: Round if necessary. 187.5 mL/hr = 188 mL/hr
Step 7: Determine whether the amount to administer makes sense. If the
prescription reads 1,500 mL 0.9% sodium chloride IV to infuse over 8 hr, it makes
sense to administer 188 mL/hr. The nurse should set the IV pump to deliver 0.9%
sodium chloride IV at 188 mL/hr.
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A nurse is caring for the parent of a newborn. The parent asks the nurse when
their newborn should receive the first diphtheria, tentanus, and pertussis vaccine
(DTap). Which of the following ages should the nurse advise the parent to
immunize their newborn?
A. At birth
B. 6 months
C. 2 months
D. 15 months-correct-answer-C. 2 months
Rationale:
The CDC recommends that newborns receive the first dose of the five-dose series
of the DTaP immunization at 2 months of age.
A nurse at a clinic is providing follow-up care for a client who is taking fluoxetine
for depression. Which of the following findings should the nurse identify as an
adverse effect of the medication?
A. Tingling toes
B. Absence of dreams
C. Sexual dysfunction
D. Pica-correct-answer-C. Sexual dysfunction
Rationale:
ATI PHARMACOLOGY 2023 ASSESSMENT B
QUESTIONS WITH CORRECT SOLUTIONS
A nurse is administering digoxin immune Fab to a client following a medication
error. Which of the following findings should the nurse identify as an indication
that the medication was effective?
A. Sinus rhythm
B. A decrease in the platelet count
C. An increase in the alanine transaminase (ALT) level
D. Deep tendon reflexes 2+-correct-answer-A. Sinus rhythm
Rationale:
Digoxin immune Fab is the antidote for digoxin toxicity. Dysrhythmias are a life-
threatening adverse effect of digoxin toxicity. Therefore, the return of the client's
heart to a sinus rhythm indicates a therapeutic response to the antidote, digoxin
immune Fab.
A decrease in the client's platelet count is not evidence of a therapeutic response
to digoxin immune Fab, the antidote for digoxin toxicity.
A decrease in the client's ALT level is not evidence of a therapeutic response to
digoxin immune Fab, the antidote for digoxin toxicity.
,2|Page
Deep tendon reflexes 2+ is not evidence of a therapeutic response to digoxin
immune Fab, the antidote for digoxin toxicity.
A nurse is teaching a client about warfarin. The client asks if they can take aspirin
while taking warfarin. Which of the following responses should the nurse make?
A. "It is safe to take an enteric-coated aspirin."
B. "The INR lab work must be monitored more frequently if aspirin is taken."
C. "Acetaminophen may be substituted for aspirin."
D. "Aspirin will increase the risk of bleeding."-correct-answer-D. "Aspirin will
increase the risk of bleeding."
Rationale:
Aspirin inhibits platelet aggregation and can potentiate the action of the
anticoagulant warfarin. Therefore, the client should avoid taking aspirin because it
increases the risk for bleeding.
Although it is common for clients to consider an occasional aspirin harmless,
salicylates inhibit platelet aggregation and increase the potential for hemorrhage.
Therefore, the client should avoid taking enteric-coated aspirin.
The client should continue to follow the provider's prescription for monitoring the
PT and INR levels to adjust warfarin dosages. However, the nurse should
discourage the client from using aspirin products because these medications
increase the antiplatelet action of the warfarin and can result in bleeding.
,3|Page
Acetaminophen, an analgesic, can potentiate the action of the anticoagulant
warfarin when administered in high doses and is not a safe substitute for aspirin.
A nurse is preparing to administer 0.9% sodium chloride 1,500 mL to infuse over 8
hr to a client who is postoperative. How many mL/hr should the nurse set the IV
pump to deliver?-correct-answer-188 mL/hr
Rationale:
Step 1: What is the unit of measurement the nurse should calculate? mL/hr
Step 2: What is the volume the nurse should infuse? 1,500 mL
Step 3: What is the total infusion time? 8 hr
Step 4: Should the nurse convert the units of measurement? No
Step 5: Set up an equation and solve for X.
Volume (mL)X mL/hr = Time (hr)
1,500 mLX mL/hr = 8 hr
X mL/hr = 187.5 mL/hr
Step 6: Round if necessary. 187.5 mL/hr = 188 mL/hr
Step 7: Determine whether the amount to administer makes sense. If the
prescription reads 1,500 mL 0.9% sodium chloride IV to infuse over 8 hr, it makes
sense to administer 188 mL/hr. The nurse should set the IV pump to deliver 0.9%
sodium chloride IV at 188 mL/hr.
, 4|Page
A nurse is caring for the parent of a newborn. The parent asks the nurse when
their newborn should receive the first diphtheria, tentanus, and pertussis vaccine
(DTap). Which of the following ages should the nurse advise the parent to
immunize their newborn?
A. At birth
B. 6 months
C. 2 months
D. 15 months-correct-answer-C. 2 months
Rationale:
The CDC recommends that newborns receive the first dose of the five-dose series
of the DTaP immunization at 2 months of age.
A nurse at a clinic is providing follow-up care for a client who is taking fluoxetine
for depression. Which of the following findings should the nurse identify as an
adverse effect of the medication?
A. Tingling toes
B. Absence of dreams
C. Sexual dysfunction
D. Pica-correct-answer-C. Sexual dysfunction
Rationale:
