ATI RN
ATI RN Pharmacology 2019 I Questions
Extract:
Question 1 of 5
A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneously every 12 hr. The client's weight is 121 lb. Available is enoxaparin 60 mg/0.6 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: C
Rationale: 121 lb = 55 kg; 1 mg/kg × 55 kg = 55 mg; (55 mg / 60 mg) × 0.6 mL = 0.55 mL, rounded to 0.6 mL.
Question 2 of 5
A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis. Which of the following findings should indicate to the nurse that the therapy is effective?
Correct Answer: D
Rationale: Reduced calf circumference suggests resolution of the thrombus, indicating effective heparin therapy.
Question 3 of 5
A nurse is providing discharge teaching to a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic; limiting potassium-rich foods prevents hyperkalemia.
Question 4 of 5
A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Nasal cyanocobalamin is administered weekly into one nostril to treat vitamin B12 deficiency in pernicious anemia.
Question 5 of 5
A nurse is reviewing the laboratory results of a client who is receiving gentamicin for staphylococcus. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: Gentamicin is nephrotoxic; a creatinine level of 1.8 mg/dL indicates potential kidney damage, requiring immediate reporting.