ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a sulfonamide allergy. Which of the following medications should the nurse identify as contraindicated?
Correct Answer: D
Rationale: Glyburide is a sulfonylurea used to treat type 2 diabetes by increasing insulin production in the pancreas. It contains sulfonamide and can cause allergic reactions in patients with sulfonamide allergies, making it contraindicated.
Question 2 of 5
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Inject air into the vial to withdraw the short-acting insulin is the correct procedure. The nurse should first inject air into the NPH vial without drawing up any insulin, then inject air into the short-acting insulin vial and withdraw the required dose. This prevents contamination of the short-acting insulin with NPH insulin.
Question 3 of 5
A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?
Correct Answer: D
Rationale: Sildenafil is a phosphodiesterase inhibitor used to treat erectile dysfunction. It is contraindicated with nitroglycerin because both medications cause vasodilation, which can lead to severe hypotension and cardiovascular collapse. Patients should not use these medications together.
Question 4 of 5
A nurse is educating a client about pain management with opioids. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Long-term use of opioids may cause dependence is correct. Long-term use of opioids can lead to physical dependence, where the body adapts to the drug, and withdrawal symptoms occur if the drug is abruptly discontinued.
Question 5 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:
Step 1: Convert the client's weight from pounds to kilograms. 143 lbs ÷ 2.2 = 65 kg (rounded).
Step 2: Calculate the dosage in mcg. 5 mcg × 65 kg = 325 mcg. The nurse should administer 325 mcg per day.