ATI RN
ATI RN Pharmacology 2019 I Questions
Extract:
Question 1 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 levels can cause neurological symptoms.
Question 2 of 5
A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Inserting the needle fully, grasping the skin, and alternating sites ensure proper administration and minimize complications. Massaging increases bleeding risk, and the air bubble should remain to ensure complete dosing.
Question 3 of 5
A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?
Correct Answer: B
Rationale: Acetaminophen is metabolized by the liver, and a history of alcohol use disorder may indicate compromised liver function, increasing the risk of hepatotoxicity. The nurse should notify the provider to assess the safety of administering acetaminophen.
Question 4 of 5
A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPTT of 90 seconds. The nurse should monitor the client for which of the following changes in their vital signs?
Correct Answer: A
Rationale: An aPTT of 90 seconds indicates over-anticoagulation, increasing bleeding risk, which may manifest as an increased pulse rate due to hypovolemia.
Question 5 of 5
A nurse is assessing a client who is receiving penicillin IV. For which of the following findings should the nurse report to the provider as a manifestation of anaphylaxis?
Correct Answer: B
Rationale: Wheezing is a sign of anaphylaxis, indicating airway constriction due to an allergic reaction to penicillin.