ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has congestive heart failure and is taking captopril. Which of the following laboratory values should the nurse report to the provider as a potential adverse effect of captopril?
Correct Answer: D
Rationale: Elevated creatinine (2 mg/dl) may indicate impaired kidney function, a potential adverse effect of captopril, requiring provider notification.
Question 2 of 5
A nurse is caring for a client who has a magnesium level of 3.2 mEq/L. Which of the following medications should the nurse expect to administer?
Correct Answer: A
Rationale: Calcium gluconate is the antidote for hypermagnesemia, counteracting the effects of elevated magnesium levels.
Question 3 of 5
A nurse is caring for a client who is receiving neostigmine. Which of the following manifestations should the nurse identify as an adverse reaction to the medication?
Correct Answer: B,C,E
Rationale: Neostigmine's cholinergic effects can cause sweating, respiratory distress (due to bronchoconstriction), and bradycardia (via vagal stimulation).
Question 4 of 5
A nurse is caring for a client who has fluid volume excess and received furosemide 40 mg via intermittent IV bolus 1 hr ago. Which of the following findings indicates that the medication has been effective?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, promotes diuresis, leading to increased urinary output, which indicates effective treatment of fluid volume excess.
Question 5 of 5
A nurse is caring for a client who is receiving heparin by continuous IV infusion for treatment of venous thrombosis. Which of the following laboratory values should the nurse monitor for in order to titrate the heparin dose?
Correct Answer: B
Rationale: aPTT is used to monitor heparin's anticoagulant effect, ensuring the therapeutic range is maintained to prevent thrombosis or bleeding.