ATI RN
ATI RN Pharmacology 2019 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: A
Rationale: Improved cognition indicates correction of hyponatremia, which causes confusion. Other findings are unrelated.
Question 2 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 excessive anticoagulation, increasing bleeding risk. Increased pulse rate signals blood loss.
Question 3 of 5
A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: Cefuroxime, a cephalosporin, may cause allergic reactions in penicillin-allergic clients, making this a priority. Other findings are less critical.
Question 4 of 5
A nurse is receiving a medication prescription by telephone from a provider. The provider states, 'Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.' How should the nurse transcribe the prescription in the client's medical record?
Correct Answer: A
Rationale: Using the full drug name and exact dose avoids errors. Abbreviations like MS or MSO4 are risky.
Question 5 of 5
A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?
Correct Answer: C
Rationale: Atorvastatin is a statin used to lower LDL cholesterol levels. An LDL level of 120 mg/dL, while not optimal (ideal is <100 mg/dL), indicates a reduction in 'bad' cholesterol, suggesting the treatment is effective. Urine specific gravity measures urine concentration, BUN reflects kidney function, and blood glucose indicates sugar levels, none of which are directly affected by atorvastatin.