ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV bolus. Which of the following manifestations should the nurse identify as an indication of a therapeutic response to the medication?
Correct Answer: D
Rationale: Desmopressin increases water reabsorption in the kidneys, reducing urine output in diabetes insipidus.
Question 2 of 5
A nurse is planning to administer medications to a client who weighs 198 lb. The prescription reads, 'filgrastim 5 mcg/kg, subcutaneous, daily.' Available is filgrastim 300 mcg/mL. How many mL should the nurse plan to give with each dose?
Correct Answer: A
Rationale: 198 lb / 2.2 = 90 kg; 90 kg * 5 mcg/kg = 450 mcg; 450 mcg / 300 mcg/mL = 1.5 mL.
Question 3 of 5
A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?
Correct Answer: B
Rationale: Immobility can significantly affect bone health and metabolism, leading to osteoporosis or exacerbating existing osteoporosis. Alendronate is generally indicated to treat osteoporosis by increasing bone density, but its effectiveness may be compromised if the patient is severely immobilized.
Question 4 of 5
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: Hypotension is a common side effect of epidural anesthesia due to vasodilatory effects and can lead to decreased perfusion to vital organs and compromise fetal oxygenation, making it the priority.
Question 5 of 5
A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective?
Correct Answer: B
Rationale: Atropine increases heart rate by blocking vagal effects, so a heart rate of 90/min indicates reversal of bradycardia caused by muscarinic agonists.