ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 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 2 of 5
A nurse in an emergency department is assessing a client who received epinephrine. Which of the following findings should the nurse report as an adverse effect of epinephrine?
Correct Answer: A
Rationale: Epinephrine increases myocardial oxygen demand, potentially causing chest pain, especially in clients with cardiovascular disease.
Question 3 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: C
Rationale: Propranolol can cause bradycardia, so assessing heart rate is critical to detect potential adverse effects.
Question 4 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 5 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.