ATI RN
ATI RN Pharmacology 2019 Questions
Extract:
Question 1 of 5
A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 Ib) since the last visit 2 days ago. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Rapid weight gain indicates fluid retention, requiring immediate provider notification. Other actions are secondary.
Question 2 of 5
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?
Correct Answer: C
Rationale: Urticaria (hives) is a common sign of penicillin allergy. Other findings are not typical allergic reactions.
Question 3 of 5
A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
Correct Answer: C
Rationale: Lithium can cause hyponatremia by increasing antidiuretic hormone secretion, reducing sodium clearance, especially with exercise-induced fluid loss. Other imbalances are less common.
Question 4 of 5
A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Correct Answer: A
Rationale: Oliguria indicates fluid volume deficit due to excessive fluid loss from osmotic laxatives. Other findings are unrelated.
Question 5 of 5
A nurse is assessing for allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?
Correct Answer: B
Rationale: Egg allergies may contraindicate some flu vaccines due to egg-based production. Other allergies are unrelated.