ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 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.
Question 2 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 3 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 4 of 5
A nurse is planning to administer medications to a client who weighs 198 lb. The prescription reads, 'filgrastim 5 mcg/kg, subcutaneous, daily.' Available is filgrastim 300 mcg/mL. How many mL should the nurse plan to give with each dose?
Correct Answer: A
Rationale: 198 lb / 2.2 = 90 kg; 90 kg * 5 mcg/kg = 450 mcg; 450 mcg / 300 mcg/mL = 1.5 mL.
Question 5 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Daily weight monitoring assesses fluid balance and TPN effectiveness, guiding therapy adjustments.