ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse Is evaluating the laboratory results of four clents. The nurse should report which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. An aPTT of 90 seconds is above the therapeutic range (30-40 seconds) for a client on heparin, indicating a risk of bleeding due to excessive anticoagulation. The nurse should report this to the provider for further evaluation and potential adjustment of the heparin dosage to ensure the client's safety.
Choice B is incorrect as an aPTT of 65 seconds falls within the therapeutic range for heparin, so it does not require immediate reporting.
Choices C and D are related to warfarin therapy, not heparin. An INR of 3.0 in choice C is above the therapeutic range (0.8-1.1) and requires reporting, as it indicates a risk of bleeding. An INR of 2.0 in choice D is within the therapeutic range and does not need immediate reporting.
In summary, the nurse should report the laboratory result in choice A because it indicates a
Question 2 of 5
A nurse is caring for a 4-year-old child following an orthopedic procedure. When assessing the child for pain, which of the following pain scales should the nurse use?
Correct Answer: A
Rationale: The correct answer is A: FACES pain scale. This is appropriate for children aged 3 and older who can point to the face that best represents their pain level. It is simple, easy to understand, and has been validated for use in pediatric populations. The FACES scale allows children to express their pain visually, making it suitable for young children who may not be able to articulate their pain verbally.
The other choices are not as appropriate for assessing pain in a 4-year-old child.
B: Numeric scale may be challenging for young children to understand and use effectively.
C: CRIES scale is typically used for infants and may not be suitable for a 4-year-old child who can communicate more effectively.
D: Word graphic scales may be too complex for young children to comprehend.
Therefore, the FACES pain scale is the most suitable choice for assessing pain in a 4-year-old child post orthopedic procedure.
Question 3 of 5
A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, 'Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min.' Which of the following reasons should the nurse clarify this prescription with the provider?
Correct Answer: B
Rationale:
Correct Answer: B - The potassium infusion rate is too rapid.
Rationale: Potassium replacement should be administered cautiously to prevent adverse effects such as hyperkalemia. A rapid infusion rate can lead to cardiac arrhythmias and other serious complications. The recommended rate for IV potassium replacement is typically 10-20 mEq/hour to minimize risks.
Therefore, the nurse should clarify this prescription with the provider to adjust the infusion rate to ensure the client's safety.
Incorrect
Choices:
A: Potassium chloride should be diluted in dextrose 5% in water - Incorrect. Potassium chloride can be safely administered in 0.9% sodium chloride solution.
C: Another formulation of potassium should be given IV - Incorrect. The prescribed formulation is appropriate for potassium replacement.
D: The client should be treated by giving potassium by IV bolus - Incorrect. IV bolus administration of potassium can be dangerous and should be avoided.
E, F, G: Not provided.
Question 4 of 5
A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Document this as an expected finding. Rifampin, an antibiotic used to treat tuberculosis, can cause a harmless side effect of red-orange discoloration of bodily fluids like urine and sweat. Checking liver function tests (choice
A) is unnecessary as this side effect is not related to liver function. Instructing the client to increase fluid intake (choice
B) may not resolve the discoloration and is not the priority. Preparing the client for dialysis (choice
D) is unnecessary and extreme for this expected side effect.
Therefore, the most appropriate action is to document this as an expected finding, as it does not indicate any serious issue.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin?
Correct Answer: C
Rationale: The correct answer is C: Acetaminophen. Acetaminophen is safe to take with enoxaparin as it does not have significant antiplatelet effects or interact with the mechanism of action of enoxaparin. Ibuprofen, Naproxen sodium, and Aspirin are not recommended due to their potential to increase the risk of bleeding when taken with enoxaparin. It is important to avoid medications that can interfere with the blood-thinning effects of enoxaparin. Acetaminophen is the safest option for pain relief in this scenario.