ATI RN
ATI RN Pharmacology 2019 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: C
Rationale: Phenytoin IV can cause hypotension due to its effect on vascular tone. Other effects are unrelated.
Question 2 of 5
A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?
Correct Answer: C
Rationale: Triamterene, a potassium-sparing diuretic, can cause hyperkalemia. A potassium of 5.3 mEq/L warrants withholding the drug.
Question 3 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: Hydromorphone, a controlled substance, requires disposal of unused portions with a witness to prevent diversion. Other actions are incorrect.
Question 4 of 5
A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?
Correct Answer: A
Rationale: Avoiding beverages with nicotine lozenges ensures proper absorption. Other instructions are incorrect.
Question 5 of 5
A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPTT of 90 seconds. The nurse should monitor the client for which of the following changes in their vital signs?
Correct Answer: A
Rationale: An aPTT of 90 seconds indicates excessive anticoagulation, increasing bleeding risk. Increased pulse rate signals blood loss.