ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. 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: A
Rationale:
To calculate the dose of filgrastim for the client, first convert the weight from pounds to kilograms. 143 lb / 2.2 = 65 kg.
Then, multiply the weight in kg by the dosage of 5 mcg/kg/day. 65 kg * 5 mcg/kg/day = 325 mcg/day.
Therefore, the correct answer is A: 325 mcg/day.
Choices B, C, and D are incorrect because they do not accurately calculate the dose based on the client's weight and the prescribed dosage.
Question 2 of 5
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?
Correct Answer: A
Rationale:
Correct
Answer: A: Administer epinephrine 1M.
Rationale: Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse the severe allergic reaction by constricting blood vessels, increasing heart rate, and opening airways, thus improving breathing and blood pressure. Administering epinephrine intramuscularly is recommended in the initial management of anaphylaxis.
Summary of other choices:
B: Replacing the IV infusion with saline may help maintain fluid status but does not address the anaphylactic reaction.
C: Diphenhydramine may be used to relieve itching and hives but does not address the life-threatening respiratory distress in anaphylaxis.
D: Elevating the legs and feet does not address the immediate need to treat the anaphylactic reaction and may delay necessary interventions.
Question 3 of 5
A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is important to ensure accurate dosage measurement and injection technique, preventing medication errors. Option A is incorrect as insulin glargine is usually given once daily, not before each meal. Option B is incorrect because the deltoid muscle is not a recommended site for insulin injection due to inconsistent absorption. Option C is incorrect as additional doses should not be taken without consulting healthcare provider. Option D is correct as it emphasizes safety and accuracy in insulin administration.
Question 4 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. Consulting a drug reference guide is essential to gather information on potential food and medication interactions.
2. Drug reference guides provide comprehensive and up-to-date information on drug interactions.
3. It is a reliable source to ensure the safety and effectiveness of medication administration.
4. This proactive approach demonstrates thorough research and professional responsibility.
Incorrect
Choices:
A: Having the client take the medication on an empty stomach may not always be the appropriate action and could lead to adverse effects.
C: Relying on another nurse's knowledge may not guarantee accurate information on all potential interactions.
D: Checking the client's medical record may provide some information, but a drug reference guide offers more extensive details on interactions.
Question 5 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?
Correct Answer: B
Rationale: The correct answer is B: Calcium. Levothyroxine should be taken on an empty stomach to ensure optimal absorption. Calcium can interfere with the absorption of levothyroxine, so it is recommended to wait at least 4 hours after taking levothyroxine before consuming calcium supplements. Ginkgo biloba, Vitamin C, and Zinc do not significantly interfere with levothyroxine absorption, so there is no need to wait specifically for them. Calcium is the correct choice because of its known interference with levothyroxine absorption.