ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is I5 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Flow rate (gtt/min) = Volume (mL)/Time (min) × Drop factor (gtts/mL) = 250/120 × 15 = 31 gtt/min.
Question 2 of 5
During therapy with the hematopoietic drug epoetin alfa, the nurse instructs the client about adverse effects that may occur, such as:
Correct Answer: D
Rationale: Epoetin alfa increases red cell production and blood viscosity, potentially causing hypertension.
Question 3 of 5
Phenytoin has a narrow therapeutic index. The nurse recognizes that this characteristic indicates which of these?
Correct Answer: D
Rationale: Narrow therapeutic index means the safe and toxic plasma levels are very close, requiring careful monitoring.
Question 4 of 5
A client who has received some traumatic news is panicking and asks for some medication to help settle down. The nurse anticipates giving which drug that is most appropriate for this situation?
Correct Answer: B
Rationale: Diazepam, a benzodiazepine, is used to manage acute anxiety and panic.
Question 5 of 5
The nurse is reviewing the medication orders for a client who will be receiving aminoglycoside therapy. Which other medication or medication class, if ordered, would be a potential interaction concern?
Correct Answer: C
Rationale: Aminoglycosides and loop diuretics are both ototoxic, increasing risk when used together.