ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Melena. Melena is a sign of gastrointestinal bleeding, which can be a serious complication of warfarin therapy due to its anticoagulant effects. Gastrointestinal bleeding can lead to significant blood loss and requires immediate medical attention to prevent further complications. Reporting melena promptly allows the provider to assess and manage the situation effectively. Fever (
A), abdominal cramping (
C), and hair loss (
D) are not typically associated with warfarin use and do not pose immediate life-threatening risks compared to gastrointestinal bleeding.
Question 2 of 5
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneously to a client who weighs 143 lbs. 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: 325
Rationale:
To calculate the correct dosage of filgrastim for the client weighing 143 lbs, we first need to convert the weight to kg by dividing it by 2.2 (1 kg = 2.2 lbs). 143 lbs / 2.2 = 65 kg.
Then, multiply the weight in kg by the dosage of 5 mcg/kg/day: 65 kg x 5 mcg/kg/day = 325 mcg/day. The correct answer is 325 mcg/day.
Summary:
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Choice A: Incorrect, as it does not provide the calculated dosage based on the client's weight and medication requirement.
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Choices B-G: Irrelevant as they do not offer a calculated dosage or provide any relevant information.
Question 3 of 5
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?
Correct Answer: C
Rationale: The correct answer is C: A client who has AIDS. Individuals with AIDS have weakened immune systems, making them more susceptible to adverse effects from live vaccines like the varicella vaccine. Administering live vaccines to immunocompromised individuals can lead to severe complications.
Choice A is incorrect because receiving the human papillomavirus vaccine does not contraindicate receiving the varicella vaccine.
Choice B is incorrect as an allergy to eggs is not a contraindication for the varicella vaccine.
Choice D is incorrect as age and living in a long-term care facility do not contraindicate receiving the varicella vaccine.
Question 4 of 5
A nurse is caring for a client who is receiving total parenteral nutrition. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Electrolyte imbalance.
Total parenteral nutrition (TPN) provides essential nutrients directly into the bloodstream, bypassing the digestive system. This can lead to electrolyte imbalances due to the concentrated nature of the solution. Monitoring electrolyte levels is crucial to prevent complications such as hyperglycemia or hypokalemia. Diarrhea (
A), aspiration pneumonia (
B), and nausea (
D) are not typically associated with TPN administration.
Question 5 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A. Assessing breath sounds first is crucial because opioid toxicity can lead to respiratory depression, which is life-threatening. By assessing breath sounds, the nurse can determine if the client is effectively ventilating after naloxone administration. Blood pressure and heart rate may be affected by naloxone, but respiratory status takes precedence. Pain level assessment is important but not the priority in this situation.