ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as an adverse effect of TPN
Correct Answer: D
Rationale: TPN can cause fluid overload, manifesting as peripheral pitting edema, indicating excess fluid accumulation in tissues.
Question 2 of 5
A nurse is reviewing the medical record of a client who has a new prescription for verapamil. Which of the following findings in the client's medical record should the nurse identify as a contraindication for the administration of verapamil?
Correct Answer: B
Rationale: Verapamil's negative inotropic effects can worsen heart failure, particularly in clients with systolic heart failure, making it a contraindication.
Question 3 of 5
A nurse is caring for a client who is starting to take aspirin 81 mg daily. Which of the following findings should the nurse identify as a risk factor for the client's development of an aspirin-induced ulcer?
Correct Answer: C
Rationale: Smoking increases the risk of aspirin-induced ulcers by compromising gastric mucosa integrity and impairing healing.
Question 4 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.
Question 5 of 5
A nurse is providing teaching for a client who has a new prescription for promethazine tablets. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Promethazine commonly causes drowsiness, a sedative effect used to manage allergies, motion sickness, and nausea.