ATI RN
Pharmacology Practice Exam A ATI Questions
Question 1 of 5
Which solution should the nurse administer with packed red blood cells?
Correct Answer: B
Rationale: When administering packed red blood cells, it is important to use a compatible solution. The preferred solution to administer with packed red blood cells is 0.9% sodium chloride (normal saline) because it is isotonic and compatible with red blood cells. Using an isotonic solution like 0.9% sodium chloride helps to prevent hemolysis of the red blood cells and maintains their integrity during administration. Lactated Ringer's solution, D5W, and 0.45% sodium chloride are not recommended for administering packed red blood cells because they can cause hemolysis due to their hypotonic or hypertonic nature.
Question 2 of 5
A 22-year-old man has taken an overdose of sleeping pills after learning that he did not receive the job he has recently been interviewed for. He is found by his roommate conscious but not able to completely follow commands. The roommate calls the local poison control center. Instructions are given to self-administer syrup of ipecac while waiting for the rescue squad to respond. This agent has a mechanism of action that involves which of the following?
Correct Answer: B
Rationale: Syrup of ipecac induces vomiting in overdose. It stimulates the chemotactic trigger zone in the medulla-prompting emesis. Gag reflex stimulation is secondary. Suppressing pressures , gag reflex , or motor cortex (E) don't apply. Though less used now, ipecac's CNS action expels pills, aiding this acute scenario, distinct from mechanical or suppressive effects.
Question 3 of 5
Which of the following is NOT a side effect of Alprazolam?
Correct Answer: C
Rationale: Insomnia is not a common side effect of Alprazolam. Alprazolam is a benzodiazepine medication commonly used to treat anxiety and panic disorders. Common side effects of Alprazolam include dizziness, drowsiness, and lethargy. However, it is not typically associated with causing insomnia as a side effect. If a person experiences unusual symptoms while taking Alprazolam, they should consult their healthcare provider for guidance.
Question 4 of 5
The nurse has completed medication education for the anxious patient who is receiving buspirone (BuSpar). The nurse determines that the patient needs additional instruction when the patient makes which statement?
Correct Answer: B
Rationale: Buspirone requires regular dosing-weeks-to reduce anxiety via serotonin modulation, not PRN like benzos, per pharmacology. Dizziness, headache, drowsiness are true side effects. Regular use is needed for effect. It's non-addictive, unlike benzos. PRN use misstates its action, needing correction.
Question 5 of 5
Dr. Smith orders a gram of human salt poor albumin product for a patient. The product is available in a 50-milliliter vial with a concentration of 25 percent. What dosage will the nurse administer?
Correct Answer: D
Rationale: A 25 percent albumin solution contains 25 grams of albumin per 100 milliliters.
To administer 1 gram of albumin, the nurse would calculate the volume as follows: 1 gram ÷ 25 grams/100 milliliters = 4 milliliters.
Therefore, the nurse will administer 4 milliliters of the 25 percent albumin solution to deliver the ordered dose of 1 gram. Using the entire vial or not using the product at all would be incorrect.