ATI RN
ATI Pharmacology Endocrine and Hematology Questions
Extract:
Question 1 of 5
A nurse is preparing to administer levothyroxine 100mcg po to a client who has hypothyroidism. Available levothyroxine is 50 mcg tablets. How many tablets should the nurse administer? (Round off to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: Divide the prescribed dose (100 mcg) by the tablet strength (50 mcg): 100 mcg ÷ 50 mcg/tablet = 2 tablets.
Question 2 of 5
A nurse is reviewing laboratory data from a client who has a pulmonary embolism and is receiving IV heparin. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A platelet count of 100,000 may indicate heparin-induced thrombocytopenia, a serious complication requiring immediate reporting.
Question 3 of 5
Which of the following statements indicates that the client understands the effects of warfarin (coumadin)?
Correct Answer: A
Rationale: Using an electric razor reduces the risk of bleeding, a key concern with warfarin's anticoagulant effects.
Question 4 of 5
A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?
Correct Answer: D
Rationale: NPH insulin's onset is 1 to 2 hours, so monitoring around 1000 (3 hours post-administration) is appropriate.
Question 5 of 5
A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?
Correct Answer: A
Rationale:
To prevent contamination, inject air into NPH first, then regular insulin, and draw regular insulin first to avoid mixing.