ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has ovarian cancer and is receiving paclitaxel. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Bradycardia is a serious side effect of paclitaxel, indicating potential cardiac toxicity. It requires prompt reporting to prevent life-threatening complications.
Question 2 of 5
A nurse is preparing to administer exenatide for a client who has type 2 diabetes mellitus. Which of the following routes of administration should nurse plan to use?
Correct Answer: C
Rationale: Exenatide is administered subcutaneously, injected into fatty tissue, as it is a peptide-based medication ineffective if taken orally.
Question 3 of 5
A nurse is caring for a client who has anxiety and a prescription for oral lorazepam PRN. Which of the following is the correct way to transcribe the prescription into the electronic medical record?
Correct Answer: C
Rationale: The transcription 'Lorazepam 2.5 mg PO every 8 hours as needed for anxiety' correctly reflects the PRN order for anxiety.
Question 4 of 5
A nurse is assessing a client who is receiving IV ciprofloxacin to treat a urinary tract infection. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: C
Rationale: Tendon pain, particularly when walking, may indicate tendonitis or risk of tendon rupture, a serious adverse effect of ciprofloxacin requiring immediate attention.
Question 5 of 5
A nurse is preparing to administer dopamine 5 mcg/kg/min by continuous IV infusion to a client who weighs 220 lb. Available is 400 mg of dopamine in 250 ml of 0.9% sodium chloride. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: A
Rationale: The correct calculation yields 18.8 mL/hr, as in Question 40. The provided answer (0.12 mL/hr) is incorrect.
Steps: 220 lb = 100 kg, 5 mcg/kg/min = 0.5 mg/min, (0.5 mg/min / 400 mg) * 250 mL * 60 min/h = 18.8 mL/hr.