ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a new prescription to receive a continuous infusion of total parenteral nutrition (TPN) Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: Regular blood glucose monitoring is essential due to TPN's high glucose content, which can cause hyperglycemia.
Question 2 of 5
A nurse is reviewing the medical record of a client who has a new prescription for verapamil. Which of the following findings in the client's medical record should the nurse identify as a contraindication for the administration of verapamil?
Correct Answer: B
Rationale: Verapamil's negative inotropic effects can worsen heart failure, particularly in clients with systolic heart failure, making it a contraindication.
Question 3 of 5
A nurse is caring for a client who has anxiety and a prescription for oral lorazepam PRN. Which of the following is the correct way to transcribe the prescription into the electronic medical record?
Correct Answer: C
Rationale: The transcription 'Lorazepam 2.5 mg PO every 8 hours as needed for anxiety' correctly reflects the PRN order for anxiety.
Question 4 of 5
A nurse is assessing a client who reports feeling dizzy while getting out of bed. The nurse suspects orthostatic hypotension related to a medication the client is taking Which of the following medications should the nurse identify as likely causing this adverse effect?
Correct Answer: D
Rationale: Furosemide, a loop diuretic, can cause orthostatic hypotension by reducing fluid volume, leading to dizziness upon standing.
Question 5 of 5
A nurse is preparing to administer dopamine 5 mcg/kg/min by continuous IV infusion to a client who weighs 220 lb. Available is 400 mg of dopamine in 250 mL of 0.9% sodium chloride. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: A
Rationale: Convert 220 lb to 100 kg, calculate dose (500 mcg/min = 0.5 mg/min), then infusion rate: (0.5 mg/min / 400 mg) * 250 mL * 60 min/h = 18.8 mL/hr.