ATI RN
ATI RN Pharmacology 2019 Exam 6 Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneously every 12 hr. The client's weight is 121 lb. Available is enoxaparin 60 mg/0.6 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: 121 lb ÷ 2.2 = 55 kg; 55 kg × 1 mg/kg = 55 mg; 60 mg/0.6 mL = 100 mg/mL; 55 mg ÷ 100 mg/mL = 0.55 mL, rounded to 0.6 mL.
Question 3 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: A
Rationale: Hypotension in septic shock indicates inadequate dopamine effect, necessitating an increased infusion rate to raise blood pressure.
Question 4 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 5 of 5
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?
Correct Answer: D
Rationale: Improved cognition indicates correction of hyponatremia, as low sodium can cause neurological symptoms like confusion.