ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse accidently removes celecoxib from an automated medication dispensing system (AMDS) instead of citalopram and almost administers the wrong medication to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Reporting the incident to the nurse manager ensures proper investigation and documentation, following facility protocols to prevent future errors.
Question 2 of 5
A nurse who is caring for a preschooler should question a prescription for which of the following antibiotics?
Correct Answer: B
Rationale: Tetracycline is contraindicated in children under 8 years due to the risk of permanent tooth discoloration and damage to developing bones.
Question 3 of 5
A nurse is assessing a client who reports feeling dizzy while getting out of bed. The nurse suspects orthostatic hypotension related to a medication the client is taking Which of the following medications should the nurse identify as likely causing this adverse effect?
Correct Answer: D
Rationale: Furosemide, a loop diuretic, can cause orthostatic hypotension by reducing fluid volume, leading to dizziness upon standing.
Question 4 of 5
A nurse is providing teaching to a client who has a history of diabetes mellitus and a new prescription for hydrochlorothiazide to treat uncontrolled hypertension. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Hydrochlorothiazide can elevate blood glucose levels by reducing insulin sensitivity, requiring close monitoring in diabetic clients.
Question 5 of 5
A nurse is preparing to administer dopamine 5 mcg/kg/min by continuous IV infusion to a client who weighs 220 lb. Available is 400 mg of dopamine in 250 mL of 0.9% sodium chloride. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: A
Rationale: Convert 220 lb to 100 kg, calculate dose (500 mcg/min = 0.5 mg/min), then infusion rate: (0.5 mg/min / 400 mg) * 250 mL * 60 min/h = 18.8 mL/hr.