ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. Nifedipine is a calcium channel blocker used to treat hypertension. Monitoring the client's blood pressure prior to administration is crucial as nifedipine can cause significant hypotension. Assessing respiratory rate, temperature, and oxygen saturation are important but not specific to nifedipine administration. Blood pressure is the most relevant parameter to monitor for this medication.
Question 2 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Administer the medication into the anterolateral or posterolateral abdominal area.
Rationale: Enoxaparin is a type of anticoagulant medication that is typically administered subcutaneously. The abdomen is a common site for subcutaneous injections due to its ample subcutaneous tissue and fewer major blood vessels compared to other areas. Administering enoxaparin in the anterolateral or posterolateral abdominal area helps to minimize the risk of hitting blood vessels or nerves, reducing the likelihood of complications.
Incorrect
Choices:
A: Massaging the injection site after administering the medication is not recommended as it can cause bruising or discomfort.
B: Expelling the air bubble from the syringe is not necessary for subcutaneous injections and may result in medication wastage.
C: Holding the skin taut at the injection site is not required for subcutaneous injections and may cause unnecessary discomfort to the client.
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:
To calculate the dose of filgrastim for the client, convert their weight from pounds to kilograms (1 kg = 2.2 lb). 143 lb / 2.2 = 65 kg.
Then multiply the weight in kg by the prescribed dose of 5 mcg/kg/day: 65 kg * 5 mcg/kg/day = 325 mcg/day.
Therefore, the correct answer is A: 325 mcg/day.
Choices B, C, and D are incorrect as they do not accurately calculate the correct dose based on the client's weight and the prescribed dosage of filgrastim.
Question 4 of 5
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?
Correct Answer: A
Rationale: The correct answer is A: PT (Prothrombin Time). PT is used to monitor warfarin therapy as it measures the extrinsic pathway of the clotting process, which warfarin affects. Monitoring PT helps ensure the client is within the therapeutic range to prevent bleeding or clotting complications.
Total iron-binding capacity (
B) is unrelated to warfarin therapy. WBC (
C) is a white blood cell count, not relevant for warfarin monitoring. PTT (
D) is used to monitor heparin therapy, not warfarin.
Question 5 of 5
A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide, especially in high doses, can lead to tardive dyskinesia, a serious movement disorder characterized by involuntary repetitive movements of the face and body. This adverse effect is more common with long-term use. It is crucial for the nurse to monitor the client for any signs of tardive dyskinesia to prevent further complications.
A: Dry cough is not a common adverse effect of metoclopramide.
B: Oral candidiasis is not a common adverse effect of metoclopramide.
C: Black stools are not a common adverse effect of metoclopramide.
E, F, G: No additional options provided.