ATI RN
ATI RN Pharmacology 2019 Exam 6 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching about warfarin to a client who has deep-vein thrombosis. The nurse should instruct the client to obtain which of the following laboratory tests monthly?
Correct Answer: C
Rationale: INR monitoring ensures warfarin maintains therapeutic anticoagulation, preventing clotting or bleeding complications.
Question 2 of 5
A nurse is reviewing the laboratory results of a client who is receiving gentamicin for staphylococcus. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: Gentamicin is nephrotoxic; a creatinine of 1.8 mg/dL suggests kidney damage, requiring immediate reporting to prevent further harm.
Question 3 of 5
A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?
Correct Answer: B
Rationale: Nitroglycerin combined with sildenafil can cause severe hypotension, making it a contraindication due to synergistic blood pressure-lowering effects.
Question 4 of 5
A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?
Correct Answer: D
Rationale: Ceftriaxone, a cephalosporin, may cause cross-reactivity in penicillin-allergic patients, making it contraindicated.
Question 5 of 5
A nurse is preparing to administer sulfadiazine 150mg/kg PO to divide equally every 6 hr to an adolescent who weighs 88 lb. Available is sulfadiazine 500 mg/tab. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: 88 lb ÷ 2.2 = 40 kg; 150 mg/kg × 40 kg = 6000 mg/day; 6000 mg ÷ 4 doses = 1500 mg/dose; 1500 mg ÷ 500 mg/tab = 3 tablets.