ATI RN
Pharmacology ATI Practice Exam 1 Questions
Question 1 of 5
Which of the following statements regarding colloid administration does the nurse identify as being true?
Correct Answer: A
Rationale: Colloids, such as albumin and synthetic colloids like hydroxyethyl starch, do not enhance the oxygen-carrying capacity of the blood. They can help to increase the intravascular volume in cases of hypovolemia by osmotically drawing fluid into the intravascular space. This can help improve tissue perfusion by increasing blood pressure. Colloids do not have a direct effect on oxygen-carrying capacity or coagulation properties. Dextran therapy can cause adverse effects like anaphylaxis or renal failure, but it is not a general contraindication for all colloid administration in the treatment of hypovolemia.
Question 2 of 5
The patient is ordered furosemide (Lasix). Before administering furosemide, it is most important for the nurse to assess the patient for allergies to which drug class?
Correct Answer: B
Rationale: Furosemide belongs to the sulfonamide drug class. Physicians commonly prescribe furosemide for its diuretic effects in conditions like heart failure, hypertension, and edema. It is crucial for the nurse to assess the patient for allergies to sulfonamides before administering furosemide due to the potential for cross-reactivity between these drugs. Allergies to sulfonamides can lead to severe reactions, such as skin rashes, itching, and in rare cases, anaphylaxis. By identifying any potential allergies, the nurse can prevent adverse reactions and ensure patient safety.
Question 3 of 5
A patient calls the clinic office saying that the cholestyramine (Questran) powder he started yesterday clumps and sticks to the glass when he tries to mix it. The nurse will suggest what method for mixing this medication for administration?
Correct Answer: C
Rationale: The nurse should suggest the patient mix the cholestyramine powder with food or fruit, or at least 4 to 6 ounces of fluid. Cholestyramine is a medication that works by binding with bile acids in the intestine, which requires mixing the powder with a sufficient amount of fluid to ensure proper administration. Mixing the powder with 4 to 6 ounces of fluid or food will help prevent clumping and ensure optimal effectiveness of the medication. Mixing it with a carbonated soda drink (option A) may not be ideal as the effervescence could affect the medication's stability. Adding the powder to any liquid and stirring vigorously (option B) may not effectively dissolve the powder. Taking the powder dry followed by a glass of water (option E) may also not be as effective in ensuring proper administration as when mixed with food or fluid.
Question 4 of 5
What is a common side effect of Albuterol?
Correct Answer: A
Rationale: Paradoxial bronchospasm is a potential side effect of Albuterol, a common bronchodilator medication used for treating asthma and other respiratory conditions. This side effect involves a sudden narrowing of the airways, making it difficult to breathe. It is important for healthcare providers to monitor patients closely for this adverse reaction, as it can be life-threatening and may require immediate intervention. If a patient experiences paradoxical bronchospasm after using Albuterol, they should seek medical attention promptly.
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: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.