ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. Phenytoin can cause hypotension due to its vasodilatory effects. The drug can lead to decreased vascular resistance, resulting in lowered blood pressure. Hypoglycemia (
A) is not a typical adverse effect of phenytoin. Bradycardia (
B) is not a common side effect; phenytoin is more likely to cause cardiac arrhythmias. Red man syndrome (
C) is associated with vancomycin, not phenytoin.
Therefore, the nurse should identify hypotension as the potential adverse effect.
Question 2 of 5
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?
Correct Answer: A
Rationale: The correct answer is A: Urticaria. Urticaria, also known as hives, is a common symptom of an allergic reaction to penicillin. It presents as raised, red, itchy welts on the skin. Monitoring for urticaria is crucial as it can indicate an immediate hypersensitivity reaction, potentially progressing to anaphylaxis. Bradycardia (
B), pallor (
C), and dyspepsia (
D) are not typical signs of an allergic reaction to penicillin G IM. Bradycardia refers to a slow heart rate, pallor is paleness of the skin, and dyspepsia is indigestion. These symptoms are not specific to an allergic reaction and would not be the primary indicators to monitor for in this scenario.
Question 3 of 5
A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, 'Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min.' Which of the following reasons should the nurse clarify this prescription with the provider?
Correct Answer: B
Rationale:
Correct Answer: B - The potassium infusion rate is too rapid.
Rationale: Potassium replacement should be administered cautiously to prevent adverse effects such as hyperkalemia. A rapid infusion rate can lead to cardiac arrhythmias and other serious complications. The recommended rate for IV potassium replacement is typically 10-20 mEq/hour to minimize risks.
Therefore, the nurse should clarify this prescription with the provider to adjust the infusion rate to ensure the client's safety.
Incorrect
Choices:
A: Potassium chloride should be diluted in dextrose 5% in water - Incorrect. Potassium chloride can be safely administered in 0.9% sodium chloride solution.
C: Another formulation of potassium should be given IV - Incorrect. The prescribed formulation is appropriate for potassium replacement.
D: The client should be treated by giving potassium by IV bolus - Incorrect. IV bolus administration of potassium can be dangerous and should be avoided.
E, F, G: Not provided.
Extract:
Vital signs: Day 1: Temperature 36.2°C (97.2°F), Respiratory rate 18/min, Heart rate 74/min, Blood pressure 118/68 mm Hg, SpO2 96% on room air. Day 7: Temperature 36.9°C (98.4°F), Heart rate 86/min, Respiratory rate 18/min, Blood pressure 98/66 mm Hg, SpO2 97% on room air.
Question 4 of 5
A nurse is caring for a client in a provider's office. Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
Correct Answer: A, B, E, F
Rationale: The correct answer includes statements A, B, E, and F. Statement A is correct because taking the medication with a meal can help prevent nausea. Statement B is correct as vivid nightmares can be a side effect of the medication. Statement E is correct because an increase in involuntary movements can occur initially. Statement F is correct as the medication can cause lightheadedness upon standing quickly.
Choice C is incorrect because the color change in urine is not typically associated with the medication.
Choice D is incorrect as high protein meals typically do not affect the effectiveness of this medication.
Extract:
Question 5 of 5
A nurse is receiving a medication prescription by telephone from a provider. The provider states, 'Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.' How should the nurse transcribe the prescription in the client's medical record?
Correct Answer: A
Rationale: The correct answer is A: Morphine 6 mg IV push every 3 hr PRN acute pain. This transcription accurately reflects the provider's order by specifying the medication (morphine), dose (6 mg), route (IV push), frequency (every 3 hours), and indication (acute pain). Each element is essential for safe administration and documentation.
Option B (MSO) and Option C (MS) are incorrect because they do not specify morphine. Option D includes unnecessary decimal points, which could lead to dosing errors.
In summary, option A is the correct transcription as it accurately captures all the necessary details of the provider's order for safe medication administration.