ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer diphenhydramine 50 mg PO every 6 hr to a client who has acute dystonia. Available is diphenhydramine 25 mg tablets. How many tablets should the nurse administer per dose? (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: 2 tablets. The nurse is preparing to administer 50 mg of diphenhydramine per dose. Since each tablet contains 25 mg, the nurse should administer 2 tablets to achieve the total dose of 50 mg. It's important to round to the nearest whole number in this case.
Choices B, C, D, E, F, and G are incorrect because they do not reflect the correct calculation based on the dosage requirement and the strength of each tablet. It's crucial for the nurse to accurately calculate the number of tablets to ensure the client receives the appropriate medication dosage for effective treatment of acute dystonia.
Question 2 of 5
A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the client's vital signs. This is the first action the nurse should take to assess for any potential adverse effects of the medication given to the wrong client. Checking vital signs can help identify any immediate complications such as hypotension or tachycardia. It is crucial to prioritize the safety and well-being of the clients involved. Administering the medication to the correct client (
B) should not be done until the situation is further assessed. Filling out an occurrence form (
C) and notifying the client's provider (
D) are important steps but should come after ensuring the immediate health of the client.
Question 3 of 5
When taking a telephone order for a medication, which action by the nurse is most appropriate?
Correct Answer: D
Rationale: The most appropriate action is D: Call back the prescriber to review the order. This ensures accuracy and clarity, reducing the risk of errors. First, confirming directly with the prescriber is crucial as they are the source of the order. Second, it allows for any misunderstandings or discrepancies to be addressed immediately. Third, it demonstrates thoroughness and commitment to patient safety. Option A may delay the process and doesn't involve the prescriber directly. Option B involves a pharmacist not responsible for the order. Option C could lead to miscommunication if the prescriber made an error. Options E, F, and G are not provided, but they would likely be incorrect as they are not standard procedures for verifying orders.
Question 4 of 5
During therapy with the hematopoietic drug epoetin alfa, the nurse instructs the client about adverse effects that may occur, such as:
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Epoetin alfa stimulates red blood cell production, leading to increased blood viscosity, which can result in hypertension. Anxiety (
A) is not a commonly reported adverse effect. Constipation (
B) and drowsiness (
C) are not directly related to epoetin alfa therapy.
Therefore, they are incorrect choices.
Question 5 of 5
A client has been taking iron supplements for anemia for 2 months. During a follow-up assessment, the nurse will observe for which therapeutic response?
Correct Answer: B
Rationale: The correct answer is B: Increased activity tolerance. Iron supplements help increase red blood cell production, improving oxygen delivery to tissues. This can lead to increased energy levels and improved ability to engage in physical activity. Decreased palpitations (choice
A) may be seen if the anemia is resolving, but it is not a direct therapeutic response to iron supplementation. Decreased weight (choice
C) and increased appetite (choice
D) are not commonly associated with iron supplementation for anemia.