ATI RN
ATI RN Pharmacology 2019 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10,000 units/mL. How many mL of heparin should the nurse administer?
Correct Answer: A
Rationale: Calculation: 4,000 units / 10,000 units/mL = 0.4 mL, the correct dose for subcutaneous administration.
Question 2 of 5
A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?
Correct Answer: C
Rationale: Administering filgrastim too close to chemotherapy (within 24 hours) can increase bone pain and complications, warranting an incident report.
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: D
Rationale: Avoiding beverages during and 15 minutes before using a nicotine lozenge ensures proper nicotine absorption.
Question 4 of 5
A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Polypharmacy, multiple health issues, reduced body fat, and decreased renal function increase the risk of adverse drug reactions in older adults due to altered pharmacokinetics.
Question 5 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: Dizziness upon standing suggests orthostatic hypotension, a potential side effect of furosemide, requiring provider notification.