ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?
Correct Answer: B
Rationale: Methotrexate suppresses the immune system, contraindicating live vaccines like Zostavax due to infection risk.
Question 2 of 5
A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?
Correct Answer: A
Rationale: Hypotension is a serious sign of anaphylaxis, a severe allergic reaction to ceftriaxone, requiring immediate intervention.
Question 3 of 5
A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?
Correct Answer: A
Rationale: Midazolam can depress respiratory drive, requiring monitoring for signs like decreased respiratory rate or oxygen desaturation.
Question 4 of 5
A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?
Correct Answer: B
Rationale: Endocarditis is an infection of the inner lining of the heart chambers and valves, usually caused by bacteria entering the bloodstream. Treatment typically involves antibiotics that can penetrate into heart tissues to eradicate the infection.
Question 5 of 5
A nurse is administering medications to a client who weighs 132 lb. The prescription reads chloramphenicol, 50mg/kg/day in 4 divided doses. Available is chloramphenicol 100 mg/mL. How many mL should the nurse give with each dose?
Correct Answer: A
Rationale: 132 lb / 2.2 = 60 kg; 60 kg * 50 mg/kg = 3000 mg/day; 3000 mg / 4 = 750 mg/dose; 750 mg / 100 mg/mL = 7.5 mL.