ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?
Correct Answer: D
Rationale: The correct answer is D: Sims position. In the Sims position, the client lies on the left side with the upper leg flexed. This position allows for better access to the rectum, making it easier for the nurse to insert the suppository. Placing the client in the supine position (choice
A) would not provide optimal access. The prone position (choice
B) and lying on the right side (choice
C) are also not suitable for rectal suppository insertion as they do not facilitate proper access to the rectum.
Therefore, the Sims position is the most appropriate choice for administering a rectal suppository effectively.
Question 2 of 5
Since 1400, your client has had medication given through her NG tube at 1800. The Ampicillin was 20mL, the Pepcid was 10mL, and the Reglan was 15mL. Between each medication and after the last medication, there was a 30 mL flush of water. At 2000, she was given 240mL of water by mouth. Her IV was infusing @ 150ml/hour for 8 hours since the last 1&0 was done. What is her intake for 2200? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A (1575 mL).
To calculate the intake for 2200, we add up the total fluids received.
Total NG tube medications (20 + 10 + 15) + flushes (30 * 4) + oral intake (240) + IV fluids (150 * 8) = 1575 mL. Other choices are incorrect because they do not account for all the fluids administered within the given time frame.
Question 3 of 5
A client newly diagnosed with tuberculosis (TB) has been taking antitubercular drugs for 1 week calls the clinic and is very upset. He says, 'My urine is dark orange! What's wrong with me?' Which response by the nurse is correct?
Correct Answer: B
Rationale: The correct response is B: "This is an expected side effect of the medicine. Let's review what to expect." Dark orange urine is a known side effect of antitubercular drugs, specifically rifampin. It is important for the nurse to reassure the client that this is a common side effect and not a sign of worsening TB. By educating the client about what to expect, the nurse can alleviate the client's anxiety and promote adherence to the medication regimen.
Choices A, C, and D are incorrect because they either suggest a worsening of TB, do not acknowledge the side effect, or recommend stopping the medication without proper assessment.
Question 4 of 5
The nurse is administering intravenous vancomycin to a client who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: The correct answers are B, C, D, and E.
B: Administering the drug over at least 60 minutes helps prevent rapid infusion-related adverse effects.
C: Reporting a trough drug level of 24 mcg/mL is crucial to prevent toxicity and holding the drug is appropriate.
D: Monitoring serum creatinine levels is essential to assess renal function and prevent nephrotoxicity.
E: Instructing the client to report dizziness or a feeling of fullness in the ears is important as these can be signs of ototoxicity.
A: Restricting fluids is incorrect as adequate hydration is necessary to prevent kidney damage.
Question 5 of 5
The nurse is evaluating the laboratory results of a client who has received chemotherapy. The loss of which blood cell leads to lack of energy, fatigue, intolerance of activity and hypoxemia?
Correct Answer: C
Rationale: The correct answer is C: Red blood cells. Red blood cells carry oxygen to tissues. Chemotherapy can lead to decreased red blood cell production causing anemia. Anemia leads to lack of energy, fatigue, intolerance of activity, and hypoxemia. White blood cells (
A) are involved in immune response. Albumin (
B) is a protein that helps maintain oncotic pressure. Platelets (
D) are responsible for clotting, not oxygen transport.