ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who has a new prescription for rifampin. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Rifampin commonly causes discoloration of bodily fluids, including urine, turning it orange. This is a harmless side effect, and informing the client prevents unnecessary concern.
Question 2 of 5
A nurse is preparing to administer dopamine 5 mcg/kg/min by continuous IV infusion to a client who weighs 220 lb. Available is 400 mg of dopamine in 250 ml of 0.9% sodium chloride. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: A
Rationale: The correct calculation yields 18.8 mL/hr, as in Question 40. The provided answer (0.12 mL/hr) is incorrect.
Steps: 220 lb = 100 kg, 5 mcg/kg/min = 0.5 mg/min, (0.5 mg/min / 400 mg) * 250 mL * 60 min/h = 18.8 mL/hr.
Question 3 of 5
A nurse accidently removes celecoxib from an automated medication dispensing system (AMDS) instead of citalopram and almost administers the wrong medication to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Reporting the incident to the nurse manager ensures proper investigation and documentation, following facility protocols to prevent future errors.
Question 4 of 5
A nurse is preparing to administer a new prescription for ampicillin 1.5g IV every 6 hr to a client who has an upper respiratory infection. The client also has a prescription for a sputum specimen for culture and sensitivity. Which of the following actions should the nurse plan to take?
Correct Answer: A,C,D,E
Rationale: The nurse should verify the prescription, assess for penicillin allergy, document administration, and obtain a sputum culture to ensure safe and effective treatment. Option B is incorrect due to incorrect timing for every 6-hour dosing.
Question 5 of 5
A nurse is caring for a client who is receiving neostigmine. Which of the following manifestations should the nurse identify as an adverse reaction to the medication?
Correct Answer: B,C,E
Rationale: Neostigmine's cholinergic effects can cause sweating, respiratory distress (due to bronchoconstriction), and bradycardia (via vagal stimulation).