ATI RN
ATI Pharmacology Exam 2 Questions
Extract:
Question 1 of 5
A charge nurse is supervising a newly licensed nurse who is caring for a client who is receiving a transfusion of packed RBCs. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse?
Correct Answer: D
Rationale: Starting another transfusion during a suspected hemolytic reaction is dangerous and requires intervention, as it may worsen the condition. Collecting urine, sending blood specimens, and infusing saline are appropriate actions.
Question 2 of 5
A nurse is caring for a client who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse plan to administer in the event of an overdose?
Correct Answer: C
Rationale: Protamine neutralizes heparin in overdose, preventing bleeding, unlike vitamin K (warfarin), glucagon (insulin), or iron.
Question 3 of 5
A nurse is caring for a client who is receiving a continuous IV infusion of heparin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Checking aPTT every 4 hours monitors heparin's anticoagulant effect, ensuring therapeutic levels, unlike specific tubing, excessive bolus, or vitamin K.
Question 4 of 5
A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following findings should the nurse recognize as a potential adverse effect?
Correct Answer: D
Rationale: Simvastatin can cause muscle weakness, indicating potential rhabdomyolysis, a serious adverse effect. Blurred vision, hypotension, and urinary retention are not typical side effects.
Question 5 of 5
A nurse is caring for a client who is postoperative following hip arthroplasty. The nurse should anticipate which of the following medications for this client?
Correct Answer: D
Rationale: Enoxaparin prevents DVT post-hip arthroplasty, unlike aspirin (less effective), alteplase (thrombolytic), or clopidogrel (arterial thrombosis).