ATI RN
ATI RN Pharmacology 2019 I Questions
Extract:
Question 1 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 over-anticoagulation, increasing bleeding risk, which may manifest as an increased pulse rate due to hypovolemia.
Question 2 of 5
A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?
Correct Answer: D
Rationale: Ceftriaxone, a cephalosporin, may cross-react with penicillin due to structural similarities, posing a risk of allergic reaction.
Question 3 of 5
A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?
Correct Answer: A
Rationale: Filgrastim should not be administered within 24 hours of chemotherapy, as it may exacerbate myelosuppression, necessitating an incident report.
Question 4 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Daily weight monitoring assesses nutritional status and fluid balance in clients receiving TPN.
Question 5 of 5
A nurse is preparing to administer medications to a group of clients. Which of the following prescriptions should the nurse clarify with the provider before administering?
Correct Answer: B
Rationale: Warfarin is an oral medication, not subcutaneous, requiring clarification of the prescription.