ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 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 2 of 5
A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Check the client's glucose level. Metformin is a medication used to treat diabetes, so administering it instead of metoprolol, a beta-blocker, can lead to hypoglycemia (low blood sugar). Checking the client's glucose level is crucial to assess if the client is experiencing hypoglycemia and to take appropriate action. Monitoring thyroid function levels (
A), collecting uric acid levels (
B), and obtaining HDL levels (
C) are not relevant in this situation and would not provide immediate information on the client's condition. Checking the glucose level is the priority to address the potential adverse effects of administering the wrong medication.
Question 3 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 4 of 5
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C because furosemide can cause ototoxicity, leading to hearing difficulties. The nurse should notify the provider immediately to prevent further harm. A: Potassium level within normal range is expected with furosemide. B: Dizziness upon standing is a common side effect of furosemide due to fluid loss and orthostatic hypotension. D: BUN level is within normal range and not a concern in this situation.
Extract:
Client awake, alert, and oriented to person, place, and time.
Lung sounds clear and equal bilaterally. Heart rhythm regular,
no peripheral edema, capillary refill less than 3 seconds in all
extremities. Abdomen soft and nondistended.
Client has past medical history of acute myocardial infarction 4
weeks ago. Client is taking warfarin 8 mg PO once daily.
Question 5 of 5
Complete the following sentence by using the lists of options. Upon analyzing the assessment findings, the nurse identifies that the client is at risk for Select... due to the Select...
Correct Answer: A
Rationale: The correct answer is A: concurrent medication use. The nurse identifies the client's risk based on the assessment findings, which may reveal how multiple medications interact, potentially leading to adverse effects or drug interactions. This is crucial in ensuring the client's safety and well-being. The other choices, recent illness, activity level, and the remaining options, do not directly correlate with the potential risk associated with medication use. It is important to focus on medication-related risks as they can have significant implications for the client's health outcomes.