ATI RN
ATI RN Pharmacology 2023 III Questions
Question 1 of 5
A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take when preparing to administer methotrexate in oral tablet form is to apply gloves (
Choice
D). This is because methotrexate is a cytotoxic medication that can be harmful if it comes into contact with the skin. Wearing gloves helps to protect the nurse from potential exposure to the medication. Donning a protective gown (
Choice
A) is not necessary for oral administration. Handling in an area with controlled ventilation (
Choice
B) is more applicable to handling hazardous substances in liquid or powder form. Wearing an N95 mask (
Choice
C) is not necessary for oral administration of methotrexate, as it is not an airborne hazard.
Question 2 of 5
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
Correct Answer: D
Rationale: The correct answer is D: WBC count. Filgrastim is a medication that stimulates the production of white blood cells (WBCs). Monitoring the WBC count is essential to evaluate the effectiveness of the treatment as an increase in WBC count indicates the medication is working to boost the immune system.
A: INR (International Normalized Ratio) is a measure of blood clotting, not relevant for evaluating filgrastim effectiveness.
B: BUN (Blood Urea Nitrogen) is a measure of kidney function, not related to filgrastim therapy.
C: Potassium level monitoring is important for other medications but not specifically for filgrastim.
In summary, monitoring the WBC count is crucial in assessing the response to filgrastim therapy, while the other laboratory values are not directly related to its effectiveness.
Question 3 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 mL via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: A
Rationale:
To calculate the IV infusion rate in drops per minute (gtt/min), we use the formula: (Volume to be infused in mL ÷ Time in minutes) x Drop factor. In this case, the volume to be infused is 100 mL over 30 min, and the drop factor is 15 gtt/mL. So, (100 mL ÷ 30 min) x 15 gtt/mL = 50 gtt/min. This ensures the accurate delivery of cefazolin within the specified time frame. Other choices are incorrect because they do not accurately calculate the required infusion rate based on the given parameters.
Question 4 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Return expired medication to the pharmacist. This is the safest and most environmentally friendly method of medication disposal. Pharmacies have proper protocols for disposing of medications to prevent harm to individuals and the environment. Pouring medication into a wastebasket (
B) can result in accidental ingestion by children or pets. Flushing medication down the toilet (
C) can contaminate water sources. Crushing medication and rinsing them down the sink (
D) can also contaminate water and harm aquatic life.
Question 5 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B: Breath sounds. The nurse should assess breath sounds first after administering naloxone to a client experiencing opioid toxicity because naloxone can cause sudden opioid withdrawal, leading to respiratory depression or potentially respiratory arrest. Monitoring breath sounds allows the nurse to quickly identify any signs of respiratory distress and intervene promptly. Assessing pain level (
A), heart rate (
C), or blood pressure (
D) is important but assessing breath sounds takes precedence in this situation to ensure the client's airway is clear and respiratory status is stable.