ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention?
Correct Answer: A
Rationale: Propranolol is a beta-blocker that can cause bradycardia; a heart rate of 56/min may require intervention if it indicates symptomatic bradycardia.
Question 2 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 3 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 4 of 5
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?
Correct Answer: A
Rationale: Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects, making it contraindicated.
Question 5 of 5
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
Correct Answer: D
Rationale: Filgrastim is a medication that stimulates the production of white blood cells (WBCs), particularly neutrophils, which are a type of WBC important for fighting infections. An increase in the WBC count would indicate that filgrastim is effectively stimulating the production of WBCs.