ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is preparing to administer erythromycin 2 g PO daily in equally divided doses every 6 hr. How many mg should the nurse administer per dose?
Correct Answer: A
Rationale: The correct answer is A: 500 mg per dose.
To calculate this, first convert 2 g to mg (1 g = 1000 mg, so 2 g = 2000 mg).
Then, since the dose is to be given every 6 hours, divide the total daily dose (2000 mg) by the number of doses per day (4 doses) to get 500 mg per dose.
Choices B, C, and D are incorrect as they do not align with the correct calculation.
Question 2 of 5
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?
Correct Answer: D
Rationale: The correct answer is D: Urticaria. Urticaria, also known as hives, is a common manifestation of an allergic reaction to penicillin. It presents as raised, itchy welts on the skin. Monitoring for urticaria is crucial as it indicates a potential allergic response, which can progress to more severe reactions like anaphylaxis. Dyspepsia (
A) refers to indigestion and is not typically associated with allergic reactions. Bradycardia (
B) is a slow heart rate, which is not a common sign of an allergic reaction. Pallor (
C) refers to paleness of the skin and is a non-specific symptom that may not necessarily indicate an allergic reaction.
Therefore, the nurse should focus on monitoring for urticaria as a key sign of an allergic reaction to penicillin G IM.
Question 3 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate. Before administering propranolol, a beta-blocker, the nurse should assess the client's heart rate because this medication works by slowing down the heart rate and reducing blood pressure. Monitoring the heart rate helps ensure the medication is given safely and effectively. Assessing pain level (
A) is important but not directly related to propranolol administration. Temperature (
B) is not typically a crucial assessment before giving propranolol. Respiratory rate (
D) is also important but not the priority when administering this medication.
Question 4 of 5
A nurse is teaching a client who has a depressive disorder about amitriptyline. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "This medication can cause an increase in appetite." Amitriptyline is a tricyclic antidepressant known to cause weight gain and increased appetite as side effects, leading to potential weight gain. This information is important for the client to be aware of to monitor for changes in their eating habits. Hair loss (
A), diarrhea (
C), and urinary frequency (
D) are not common side effects of amitriptyline, making them incorrect choices.
Question 5 of 5
A nurse is teaching a client who is to start taking clopidogrel. The nurse should instruct the client to monitor and report which of the following adverse effects of the medication?
Correct Answer: C
Rationale: The correct answer is C: Bruising. Clopidogrel is an antiplatelet medication that helps prevent blood clots. One of the common side effects of clopidogrel is increased risk of bleeding, which can manifest as easy bruising. Monitoring and reporting bruising is important as it could indicate potential issues with clotting.
A: Blurred vision is not a common side effect of clopidogrel.
B: Constipation is not a common side effect of clopidogrel.
D: Weight loss is not a common side effect of clopidogrel.