ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C because furosemide can cause ototoxicity, leading to hearing difficulties. The nurse should notify the provider immediately to prevent further harm. A: Potassium level within normal range is expected with furosemide. B: Dizziness upon standing is a common side effect of furosemide due to fluid loss and orthostatic hypotension. D: BUN level is within normal range and not a concern in this situation.
Question 2 of 5
A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Do not drink beverages while sucking on a nicotine lozenge. This instruction is important because drinking while using a nicotine lozenge can decrease its effectiveness by diluting the nicotine concentration in the mouth. This can reduce the absorption of nicotine through the oral mucosa, impacting the efficacy of the lozenge in managing nicotine withdrawal symptoms. It is essential for the client to follow this instruction to maximize the benefits of nicotine replacement therapy.
Choice A is incorrect because changing the nicotine patch every other day does not align with the recommended frequency for most nicotine patches, which are typically changed daily.
Choice C is incorrect because chewing nicotine gum for only 10 minutes before spitting it out does not allow for sufficient absorption of nicotine through the oral mucosa to effectively reduce cravings and withdrawal symptoms.
Choice D is incorrect because administering 2 sprays of nicotine nasal spray in each nostril with each dose is not a standard or recommended dosing regimen for nicotine nasal spray, which typically involves
Question 3 of 5
A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B. Mixing the medications with a semisolid food for the client with dysphagia helps prevent choking or aspiration. This method makes it easier for the client to swallow the medication safely. Tilt the client's head back (
A) can lead to aspiration. Administering more than one pill at a time (
C) can increase the risk of choking. Placing medications on the back of the tongue (
D) can also trigger the gag reflex and increase the risk of aspiration.
Question 4 of 5
A nurse is preparing to administer Igrasm 5mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day?
Correct Answer: 325 mcg
Rationale:
To calculate the dose, first convert the client's weight from lb to kg (143 lb / 2.2 = 65 kg).
Then, multiply the weight (65 kg) by the dose (5 mcg/kg/day) to get the total dose per day (65 kg * 5 mcg/kg/day = 325 mcg).
Therefore, the correct answer is 325 mcg.
The other choices are incorrect because they do not follow the correct calculation method or do not convert the weight to kg before multiplying by the dose.
Question 5 of 5
A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: Bisacodyl 10 mg per rectum. This medication is a stimulant laxative that helps stimulate bowel movements and relieve constipation. In this scenario, the client's lack of bowel movement for 4 days postpartum, especially with a third-degree perineal laceration, can lead to discomfort and complications like fecal impaction. Administering a rectal suppository ensures a faster onset of action compared to oral medications.
Choices B, C, and D are incorrect:
B: Magnesium hydroxide is an oral laxative that may take longer to have an effect compared to a rectal suppository.
C: Famotidine is a medication used to reduce stomach acid and is not indicated for constipation.
D: Loperamide is an antidiarrheal medication and would worsen the client's constipation.