ATI RN
ATI RN Pharmacology 2019 I Questions
Extract:
Question 1 of 5
A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first?
Correct Answer: C
Rationale: Fluid replacement with 0.9% sodium chloride is the first intervention to correct dehydration and dilute blood glucose in diabetic ketoacidosis.
Question 2 of 5
A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is 0.6 mEq/L. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A lithium level of 0.6 mEq/L is at the lower end of the therapeutic range; a dosage increase may be needed for optimal efficacy.
Question 3 of 5
A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Confusion can indicate a serious adverse effect of citalopram, such as serotonin syndrome or neurological impairment, requiring immediate reporting.
Question 4 of 5
A nurse is providing discharge teaching about warfarin to a client who has deep-vein thrombosis. The nurse should instruct the client to obtain which of the following laboratory tests monthly?
Correct Answer: D
Rationale: INR monitoring is essential for clients on warfarin to ensure therapeutic anticoagulation and prevent bleeding or clotting.
Question 5 of 5
A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?
Correct Answer: A
Rationale: Filgrastim should not be administered within 24 hours of chemotherapy, as it may exacerbate myelosuppression, necessitating an incident report.