ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
Correct Answer: C
Rationale: Oxycodone is an opioid analgesic medication that acts primarily on the central nervous system (CNS) to relieve pain. One of the side effects of opioids like oxycodone is respiratory depression, where breathing becomes slow and shallow. This effect occurs because opioids suppress the activity of the respiratory centers in the brainstem, leading to decreased respiratory rate and depth.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: A
Rationale: Carbamazepine can cause visual disturbances such as blurred vision as an adverse effect, which the client should monitor and report.
Question 3 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: B
Rationale: Dopamine is used in septic shock to increase blood pressure; hypotension indicates the infusion rate may need to be increased to achieve therapeutic effect.
Question 4 of 5
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (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: Dose= Weight in kg * dose per kg per day; 143lb/2.2046 * 5mcg = 325mcg per day
Question 5 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: Administering insulin 1 hour before the scheduled time is a medication error that could affect the client's blood glucose levels and requires documentation via an incident report to ensure proper follow-up and prevent future occurrences.