ATI RN
ATI RN Pharmacology 2019 II Questions
Extract:
Question 1 of 5
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of this medication?
Correct Answer: B
Rationale: Phenytoin IV bolus can cause hypotension, particularly if administered too rapidly, making it a critical adverse effect to monitor.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Clients should report swelling of the feet, as it may indicate lithium toxicity or other complications requiring medical attention.
Question 3 of 5
A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Correct Answer: B
Rationale: Oliguria (reduced urine output) is a key sign of fluid volume deficit, as the body conserves fluid, often seen with osmotic laxative use.
Question 4 of 5
A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?
Correct Answer: A
Rationale: Calcium gluconate antagonizes the effects of excess magnesium, helping to stabilize cardiac function in hypermagnesemia.
Question 5 of 5
A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Polypharmacy, multiple health issues, reduced body fat, and decreased renal function increase the risk of adverse drug reactions in older adults due to altered pharmacokinetics.