ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer?
Correct Answer: C
Rationale: The correct answer is C: Colesevelam (Welchol). This medication is a bile acid sequestrant commonly used to treat high cholesterol by binding to bile acids in the intestine, preventing their reabsorption, thus lowering LDL cholesterol levels. Colchicine (
A) is used to treat gout, Cimetidine (
B) for ulcers, and Chlorpromazine (
D) for psychotic disorders. These medications are not indicated for high cholesterol.
Question 2 of 5
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C: The client reports difficulty hearing. Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing loss. The nurse should notify the provider immediately to prevent further damage. A: Potassium level is within normal range. B: Dizziness upon standing can be expected due to volume loss. D: BUN level is normal and not a priority.
Question 3 of 5
A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Do not drink beverages while sucking on a nicotine lozenge. This instruction is important because beverages can interfere with the absorption of nicotine from the lozenge. Nicotine replacement therapy works best when the nicotine is absorbed properly, so avoiding beverages while using the lozenge will help ensure its effectiveness. Changing the nicotine patch every other day (choice
A) is incorrect as patches are typically changed daily. Chewing nicotine gum for 10 minutes before spitting it out (choice
C) is incorrect as the gum should be chewed until a tingling sensation is felt, then parked between the cheek and gum. Administering 2 sprays of nicotine nasal spray in each nostril with each dose (choice
D) is incorrect as the dosage is usually one spray in each nostril.
Question 4 of 5
A nurse is caring for a client who has a prescription for total parenteral nutrition (TPN). Which of the following routes of administration should the nurse use?
Correct Answer: C
Rationale: The correct answer is C: Central venous access device. TPN is a highly concentrated solution that provides all the nutrients a person needs intravenously. A central venous access device allows for the infusion of TPN into a large central vein, such as the superior vena cava, ensuring immediate access to the bloodstream for rapid absorption. Using other routes like subcutaneous (
A), intravenous (
B), or midline catheter (
D) may not be suitable due to the high osmolarity of TPN, which can cause irritation and damage to smaller veins.
Therefore, a central venous access device is the most appropriate and safe route for administering TPN.
Question 5 of 5
A nurse is preparing to administer Igrasm 5mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day?
Correct Answer: 325 mcg
Rationale: The correct answer is 325 mcg. First, convert the client's weight from lb to kg: 143 lb ÷ 2.2 = 65 kg. Next, calculate the daily dose: 5 mcg/kg/day x 65 kg = 325 mcg/day.
Therefore, the nurse should administer 325 mcg per day.
Other choices are incorrect because they do not follow the correct conversion of weight to kg and do not calculate the dose accurately based on the weight and prescribed dosage.