ATI RN
ATI N211 Pharmacology Exam I Questions
Extract:
Question 1 of 5
A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer per dose?
Correct Answer: A
Rationale: The correct answer is A: 4 mL.
To calculate this, we use the formula: Desired dose (40 mg) / Available dose (10 mg) = X mL. 40 mg / 10 mg = 4 mL.
Therefore, the nurse should administer 4 mL per dose.
Choice B (3 mL) is incorrect because it does not match the calculated amount needed for the desired dose.
Choice C (2 mL) and D (1 mL) are also incorrect as they are lower than the calculated 4 mL required.
Question 2 of 5
A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: The correct answer is D. Taking ginger root can interact with warfarin, increasing the risk of bleeding due to its blood-thinning effects. This indicates a need for further teaching as the client should avoid using ginger root while taking warfarin to prevent adverse effects.
Choice A is correct as taking warfarin at the same time each day helps maintain consistent blood levels.
Choice B is correct as regular INR checks are necessary to monitor warfarin's effectiveness.
Choice C is correct as eating a consistent amount of green leafy vegetables, like salads, helps maintain a stable vitamin K intake, which can affect warfarin's efficacy.
Question 3 of 5
A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: "I feel nauseated and have no appetite." Nausea and loss of appetite are common adverse effects of digoxin. Digoxin toxicity can lead to gastrointestinal symptoms like nausea, vomiting, and anorexia. This is important to monitor because it can indicate toxicity, which can be life-threatening. The other options (A, B, and
C) are not typically associated with digoxin adverse effects. A backache (
A) is not a common side effect of digoxin. Walking a mile a day (
B) and increased urination (
C) are positive signs of improved heart failure symptoms, not adverse effects of digoxin.
Therefore, option D is the correct answer as it indicates a potential adverse effect that should be reported to the healthcare provider.
Question 4 of 5
A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?
Correct Answer: C
Rationale: The correct technique is C because tapping the bottom helps dislodge any liquid that may be stuck in the neck of the ampule, reducing the risk of spillage. Placing a gauze pad around the neck provides a barrier to prevent injury from glass shards. Breaking off the bottom with a forward motion away from the body ensures that any glass fragments move away, minimizing the risk of injury to the nurse or client. This technique is safe and effective for opening glass ampules.
Choice A is incorrect as breaking off the neck in a downward motion may cause glass shards to fall into the medication.
Choice B is incorrect as snapping to the right side may increase the risk of glass shards flying in that direction.
Choice D is incorrect as bending the top toward the body may lead to glass fragments coming towards the nurse.
Question 5 of 5
A nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin. Which of the following baseline examinations should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests. Atorvastatin is a medication used to lower cholesterol levels, and it can potentially cause liver damage as a side effect.
Therefore, it is essential to monitor the client's liver function before starting the medication to establish a baseline.
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Choice B: Hearing test is not necessary for a client starting atorvastatin.
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Choice C: Papanicolaou test is a cervical cancer screening test and not relevant in this scenario.
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Choice D: Dental examination is unrelated to atorvastatin use and baseline monitoring.
In summary, liver function tests are crucial due to the potential liver-related side effects of atorvastatin, making it the appropriate baseline examination in this case.