ATI RN
ATI RN Pharmacology 2019 Exam 6 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use?
Correct Answer: D
Rationale: TPN's hypertonic nature requires a central venous access device to prevent vein irritation and ensure safe delivery.
Question 2 of 5
A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: Pioglitazone can cause fluid retention, leading to edema, requiring monitoring to prevent complications like heart failure.
Question 3 of 5
A nurse is reviewing the laboratory results of a client who is receiving heparin by continuous IV infusion. Which of the following results indicates the nurse should decrease the infusion rate?
Correct Answer: A
Rationale: An aPTT of 90 seconds is prolonged, indicating excessive anticoagulation, requiring a decreased heparin rate to prevent bleeding.
Question 4 of 5
A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Correct Answer: B
Rationale: Oliguria indicates reduced urine output, a sign of fluid volume deficit due to excessive fluid loss from osmotic laxatives.
Question 5 of 5
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine. The nurse should report which of the following laboratory values to the provider?
Correct Answer: C
Rationale: Cyclosporine can cause nephrotoxicity. A creatinine level of 2.5 mg/dL indicates potential kidney impairment, requiring immediate reporting to adjust therapy.