ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer Igrasm 5mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day?
Correct Answer: 325 mcg
Rationale:
To calculate the dose, first convert the client's weight from lb to kg (143 lb / 2.2 = 65 kg).
Then, multiply the weight (65 kg) by the dose (5 mcg/kg/day) to get the total dose per day (65 kg * 5 mcg/kg/day = 325 mcg).
Therefore, the correct answer is 325 mcg.
The other choices are incorrect because they do not follow the correct calculation method or do not convert the weight to kg before multiplying by the dose.
Question 2 of 5
A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: The client has a history of a severe penicillin allergy. This is the priority for the nurse to report to the provider because cefuroxime belongs to the cephalosporin class of antibiotics, which has a cross-reactivity with penicillin.
Therefore, a client with a severe penicillin allergy may also be allergic to cephalosporins like cefuroxime. This information is crucial for the provider to assess the risk of administering cefuroxime to the client and consider alternative antibiotics to avoid a potentially severe allergic reaction.
Choice A: The client has a BUN of 18 mg/dL - This information is not directly related to the prescription of cefuroxime for sinusitis and does not pose an immediate risk to the client's health in this context.
Choice B: The client takes an aspirin daily - While aspirin use is important to consider for potential drug interactions, it is not as
Question 3 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: A
Rationale: The correct answer is A: Urticaria. Urticaria, also known as hives, is a common symptom of an allergic reaction to penicillin. It presents as raised, red, itchy welts on the skin. Monitoring for urticaria is crucial as it can indicate an immediate hypersensitivity reaction, potentially progressing to anaphylaxis. Bradycardia (
B), pallor (
C), and dyspepsia (
D) are not typical signs of an allergic reaction to penicillin G IM. Bradycardia refers to a slow heart rate, pallor is paleness of the skin, and dyspepsia is indigestion. These symptoms are not specific to an allergic reaction and would not be the primary indicators to monitor for in this scenario.
Question 4 of 5
A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Do not drink beverages while sucking on a nicotine lozenge. This instruction is important because drinking while using a nicotine lozenge can decrease its effectiveness by diluting the nicotine concentration in the mouth. This can reduce the absorption of nicotine through the oral mucosa, impacting the efficacy of the lozenge in managing nicotine withdrawal symptoms. It is essential for the client to follow this instruction to maximize the benefits of nicotine replacement therapy.
Choice A is incorrect because changing the nicotine patch every other day does not align with the recommended frequency for most nicotine patches, which are typically changed daily.
Choice C is incorrect because chewing nicotine gum for only 10 minutes before spitting it out does not allow for sufficient absorption of nicotine through the oral mucosa to effectively reduce cravings and withdrawal symptoms.
Choice D is incorrect because administering 2 sprays of nicotine nasal spray in each nostril with each dose is not a standard or recommended dosing regimen for nicotine nasal spray, which typically involves
Question 5 of 5
A nurse is preparing to administer Igrasm 5mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day?
Correct Answer: 325 mcg
Rationale:
To calculate the dose, first convert the client's weight from lb to kg (143 lb / 2.2 = 65 kg).
Then, multiply the weight (65 kg) by the dose (5 mcg/kg/day) to get the total dose per day (65 kg * 5 mcg/kg/day = 325 mcg).
Therefore, the correct answer is 325 mcg.
The other choices are incorrect because they do not follow the correct calculation method or do not convert the weight to kg before multiplying by the dose.