ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a medication to a client. Using the rights of medication administration, which of the following actions should the nurse take to ensure the right medication is administered to the client?
Correct Answer: B
Rationale: The correct answer is B: Use two client identifiers prior to administering the medication. This is important to ensure the right medication is given to the right client. By using two identifiers, such as the client's name and date of birth, the nurse can confirm the client's identity and prevent medication errors. Asking another nurse to check the dosage (choice
A) is a good practice but does not directly ensure the right medication is administered. Verifying a written order (choice
C) and documenting the medication name (choice
D) are essential steps in medication administration but do not specifically address ensuring the right medication is given to the client.
Question 2 of 5
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneously to a client who weighs 143 lbs. 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: 325
Rationale:
To calculate the correct dosage of filgrastim for the client weighing 143 lbs, we first need to convert the weight to kg by dividing it by 2.2 (1 kg = 2.2 lbs). 143 lbs / 2.2 = 65 kg.
Then, multiply the weight in kg by the dosage of 5 mcg/kg/day: 65 kg x 5 mcg/kg/day = 325 mcg/day. The correct answer is 325 mcg/day.
Summary:
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Choice A: Incorrect, as it does not provide the calculated dosage based on the client's weight and medication requirement.
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Choices B-G: Irrelevant as they do not offer a calculated dosage or provide any relevant information.
Question 3 of 5
A nurse is planning to administer epoetin alfa subcutaneously to a client who has anemia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Check the client's hemoglobin level. This is important before administering epoetin alfa, as it stimulates red blood cell production and can increase hemoglobin levels. Monitoring the client for hypotension (
A) is important but not directly related to administering epoetin alfa. Injecting at a 15-degree angle (
B) is not specific to administering this medication. Administering in the deltoid (
D) is not the recommended site for subcutaneous injections of epoetin alfa.
Question 4 of 5
A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide is associated with this adverse effect, characterized by involuntary movements of the face, tongue, and extremities. The nurse should monitor for signs such as lip smacking, tongue protrusion, and rapid eye movements. Oral candidiasis (
A) is not directly related to metoclopramide. Black stools (
B) could indicate gastrointestinal bleeding but is not a common adverse effect of metoclopramide. Dry cough (
C) is not a typical side effect.
Therefore, the nurse should focus on monitoring for tardive dyskinesia (
D) when administering high-dose metoclopramide.
Question 5 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 because administering insulin 1 hour before scheduled is a medication error that could potentially harm the client. Incident reports are necessary to document any deviations from standard procedures to ensure proper investigation and prevention of future errors.
Choices A, B, and D are situations that require immediate action but do not necessarily warrant an incident report as they are within the scope of normal nursing care.