ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse administers 2 mg of morphine out of a vial containing 4 mg. Which of the following actions should the nurse take with the remaining medication in the vial?
Correct Answer: D
Rationale: Dispose of the medication as waste in an approved receptacle is correct. Unused portions of controlled substances like morphine should be disposed of according to facility policy, often involving a witness to ensure proper disposal and prevent misuse.
Question 2 of 5
A nurse is teaching a client who has a new prescription for nitroglycerin sublingual tablets for treating angina. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Place the tablet under the tongue until dissolved' is correct. Sublingual nitroglycerin should be placed under the tongue to dissolve, allowing for rapid absorption and relief of angina.
Question 3 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: You will receive TPN through a central vein' is correct. TPN is typically administered through a central venous catheter because it is a hypertonic solution that can irritate peripheral veins.
Question 4 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: D
Rationale: Heart rate is the primary assessment needed before administering propranolol. Propranolol can cause bradycardia (slow heart rate), so it is crucial to check the client's heart rate before administration. If the heart rate is below 60 beats per minute, the medication should be withheld, and the provider should be notified.
Question 5 of 5
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneously to a client who weighs 143 lbs. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 325
Rationale:
Step 1: Convert the client's weight from pounds to kilograms. 143 lbs ÷ 2.2 = 65 kg (rounded).
Step 2: Calculate the dosage in mcg. 5 mcg × 65 kg = 325 mcg. The nurse should administer 325 mcg per day.