ATI RN
ATI Pharmacology Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer heparin to a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Heparin is injected into the abdomen above the iliac crest to minimize bleeding, avoiding massage, large needles, or thick gauges.
Question 2 of 5
A nurse is reviewing the laboratory data on a client who has a new prescription for heparin for treatment of a pulmonary embolism. Which of the following data should the nurse report to the provider?
Correct Answer: B
Rationale: Platelets 74,000/mm3 indicate thrombocytopenia, a heparin complication, requiring reporting, unlike normal hematocrit, therapeutic PTT, or WBC.
Question 3 of 5
A charge nurse is supervising a newly licensed nurse who is caring for a client who is receiving a transfusion of packed RBCs. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse?
Correct Answer: D
Rationale: Starting another transfusion during a suspected hemolytic reaction is dangerous and requires intervention, as it may worsen the condition. Collecting urine, sending blood specimens, and infusing saline are appropriate actions.
Question 4 of 5
A nurse is caring for a client who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse plan to administer in the event of an overdose?
Correct Answer: C
Rationale: Protamine neutralizes heparin in overdose, preventing bleeding, unlike vitamin K (warfarin), glucagon (insulin), or iron.
Question 5 of 5
A nurse is assessing a client after administering IV vancomycin. Which of the following findings is the nurse's priority to report to the provider?
Correct Answer: B
Rationale: Stridor suggests anaphylaxis, a life-threatening reaction to vancomycin, prioritizing reporting over headache, tinnitus, or redness.