ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D. A respiratory rate of 10/min indicates respiratory depression, a common adverse reaction to morphine. Morphine can depress the respiratory center in the brain, leading to shallow breathing or apnea. This can result in hypoxia and potentially life-threatening complications. Blood pressure, temperature, and heart rate within normal ranges do not necessarily indicate adverse reactions to morphine. In summary, monitoring respiratory rate is crucial in detecting adverse reactions to morphine due to its potential for respiratory depression.
Question 2 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: The correct answer is C: A client receives their insulin 1 hr before scheduled. This situation requires an incident report because administering insulin at the wrong time could lead to serious complications like hypoglycemia or hyperglycemia. Incident reports are crucial for documenting errors in patient care to ensure proper follow-up and prevent future occurrences.
Choices A, B, and D do not involve potential harm or risk to the client's health, thus not requiring an incident report.
Question 3 of 5
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Melena. Melena indicates gastrointestinal bleeding, which can be a serious side effect of warfarin. It requires immediate medical attention to prevent further complications like hemorrhage. Reporting this symptom promptly is crucial for timely intervention.
Choice A (Fever) may indicate an infection, but it is not as critical as bleeding.
Choice B (Abdominal cramping) is a common side effect of warfarin and can usually be managed with adjustments in diet or medication.
Choice C (Hair loss) is not typically associated with warfarin use and is a less urgent concern.
Question 4 of 5
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the dose of filgrastim for the client, convert their weight from pounds to kilograms (1 kg = 2.2 lb). 143 lb / 2.2 = 65 kg.
Then multiply the weight in kg by the prescribed dose of 5 mcg/kg/day: 65 kg * 5 mcg/kg/day = 325 mcg/day.
Therefore, the correct answer is A: 325 mcg/day.
Choices B, C, and D are incorrect as they do not accurately calculate the correct dose based on the client's weight and the prescribed dosage of filgrastim.
Question 5 of 5
A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication that can cause respiratory depression as a side effect. This occurs due to its central nervous system depressant effects, leading to a decrease in the drive to breathe. Monitoring for a decrease in respiratory rate is crucial to prevent respiratory compromise or failure. The other options are incorrect because propofol does not typically cause an increase in heart rate (
A), bowel function (
C), or body temperature (
D) as its primary adverse effects.