ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Bradycardia. Buspirone, a medication used to treat anxiety, can cause bradycardia as an adverse effect by lowering heart rate. This occurs due to its action on the central nervous system. Hypoglycemia (choice
A), hypothermia (choice
C), and hypokalemia (choice
D) are not typically associated with buspirone use. Bradycardia is the most common cardiovascular side effect of buspirone, making it the correct choice.
Question 2 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is I5 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the IV infusion rate, first, convert the infusion time to minutes (30 min).
Then, calculate the total volume to be infused (100 mL). Next, determine the total number of drops needed (15 gtt/mL x 100 mL) = 1500 drops. Finally, divide the total drops by the infusion time in minutes (1500 drops / 30 min) = 50 gtt/min. This is why choice A (50) is correct.
Choices B, C, and D are incorrect as they do not match the calculated infusion rate.
Question 3 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Ensure that the air bubble remains in the syringe. This is important because enoxaparin is an anticoagulant medication, and any air in the syringe could lead to inaccurate dosing. The air bubble acts as a safety measure to prevent losing any medication. Option B is incorrect as rubbing the site can cause irritation and bruising. Option C is incorrect as enoxaparin is typically injected into the abdomen, not the lateral thigh. Option D is incorrect as releasing the skin fold too soon can cause the medication to leak out.
Question 4 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: C
Rationale: The correct answer is C: Furosemide and amikacin. Furosemide is a loop diuretic known to cause hearing loss, especially when combined with amikacin, an aminoglycoside antibiotic also associated with ototoxicity. The interaction between these two medications can potentiate the risk of hearing loss. Propranolol, raloxifene, losartan, atorvastatin, digoxin, and levothyroxine are not typically associated with hearing loss as a medication interaction. Monitoring Furosemide and amikacin is crucial to prevent potential auditory complications.
Question 5 of 5
A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Rationale: A nurse administering metformin instead of metoprolol can lead to hypoglycemia. Checking the client's glucose level is crucial to assess for hypoglycemia and provide appropriate treatment. Monitoring thyroid function levels (
B), uric acid level (
C), and HDL level (
D) are not immediate priorities in this scenario. Thyroid function levels are not directly affected by metformin or metoprolol. Uric acid levels and HDL levels are also not directly relevant to the situation at hand.