ATI Pharmacology Comprehensive Proctored 2019 C Exam Questions and Answers with Rationales (Verified by Expert)

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ATI Pharmacology Comprehensive Proctored 2019 Exam C

Questions and Answers with Rationales

1.A nurse in a provider's clinic is caring for a client who reports erectile

dysfunction and requests a prescription for sildenafil. Which of the followingmedications currently prescribed for the client is a contraindication to

taking sildenafil

 ANS Isosorbide

Rationale: Clients who are on nitrates including isosorbide andnitroglycerin prepa- rations cannot take sildenafil, because of theserious medication interaction. There is the possibility of sudden deathdue to hypotension.

2.A nurse is educating a group of clients about the contraindications of

warfarin therapy. Which of the following statements should the nurse

include in the teaching

 ANS "Clients who are pregnant should not take warfarin."

Rationale: Warfarin therapy is contraindicated in the pregnant client

because it crosses the placenta and places the fetus at risk for

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bleeding.

3.A nurse is caring for a client who has prostate cancer. The nurse should

expect the provider to prescribe which of the following medications for

this client

 ANS Leuprolide

Rationale: Leuprolide treats cancer of the prostate hormonally. It

antagonizes the androgens that androgen-dependent neoplasms

require.

4.A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking which of the following

herbal preparations reduces the effectiveness of this birth control method

 ANS St. John's wort

Rationale: St. John's wort decreases the effectiveness of oral

contraceptives and can be responsible for breakthrough bleeding and

unintended pregnancies.

5.A nurse at a family practice clinic receives a call from a client who is

prescribed oral contraceptives but forgot to take one dose. The client

reports she is in the first week of a 28-day cycle pack. Which of the following

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instruc- tions should the nurse provide

 ANS "Take the missed dose now, then continue the medication as

ordered."

Rationale: The nurse should tell the client to take the missed dose

immediately, then continue with the pack as ordered. The nurse should

also tell the client to use an additional form of contraception for 7 days.

6.A nurse is providing education to a client who is in labor and has aprescrip- tion for a continuous IV infusion of oxytocin. Which of theinformation should the nurse include

 ANS "Your contractions will become stronger and more frequent."