ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse in the PACU is caring for a client who received isoflurane. Which of the following assessments is the nurse's priority?
Correct Answer: D
Rationale: Isoflurane can cause hypotension, a critical side effect requiring priority monitoring of blood pressure to ensure adequate perfusion.
Question 2 of 5
A nurse is caring for a client who has anxiety and a prescription for oral lorazepam PRN. Which of the following is the correct way to transcribe the prescription into the electronic medical record?
Correct Answer: C
Rationale: The transcription 'Lorazepam 2.5 mg PO every 8 hours as needed for anxiety' correctly reflects the PRN order for anxiety.
Question 3 of 5
A nurse is reviewing the medical record of a client who is taking epoetin alfa. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
Correct Answer: B,E
Rationale: Hemoglobin and iron levels indicate epoetin alfa's effectiveness in stimulating red blood cell production and supporting anemia treatment.
Question 4 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: The correct calculation yields 18.8 mL/hr, as in Question 40. The provided answer (0.12 mL/hr) is incorrect.
Steps: 220 lb = 100 kg, 5 mcg/kg/min = 0.5 mg/min, (0.5 mg/min / 400 mg) * 250 mL * 60 min/h = 18.8 mL/hr.
Question 5 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.