ATI RN
ATI RN Pharmacology 2023 Retake 2 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Ensure that the air bubble remains in the syringe. This instruction is important because enoxaparin is a medication that should be administered without aspiration to prevent accidental injection into a blood vessel, which can lead to complications. Keeping the air bubble in the syringe helps to prevent accidental aspiration of blood into the syringe, ensuring the medication is administered correctly.
Choice A is incorrect as enoxaparin is typically administered into the abdomen, not the lateral thigh.
Choice C is incorrect as the skin fold should be held during injection to ensure proper technique.
Choice D is incorrect as rubbing the site after injection can cause irritation.
Question 2 of 5
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (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:
To calculate the correct dose of filgrastim for the client weighing 143 lb, we first convert the weight to kg: 143 lb ÷ 2.2 = 65 kg. Next, we multiply the weight in kg by the dose (5 mcg/kg/day): 65 kg x 5 mcg/kg/day = 325 mcg/day. Rounded to the nearest whole number, the nurse should administer 325 mcg/day.
Therefore, the correct answer is A: 324 mcg. The other choices are incorrect as they do not reflect the accurate calculation based on the client's weight and the prescribed dose.
Question 3 of 5
A nurse is caring for a client who is receiving high-dose metalopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide, a medication that promotes gastric emptying, can lead to tardive dyskinesia, a movement disorder characterized by involuntary muscle movements. Monitoring for this adverse effect is crucial due to its serious and potentially irreversible nature. Black stools (
A) are more commonly associated with gastrointestinal bleeding. Dry cough (
B) is not a common side effect of metoclopramide. Oral candidiasis (
C) is a fungal infection in the mouth and is not directly related to metoclopramide use.
Question 4 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. In septic shock, dopamine is used to increase blood pressure by improving cardiac output. Hypotension indicates that the current rate of infusion is not effectively addressing the low blood pressure, so increasing the infusion rate would help improve perfusion to vital organs. Extravasation (choice
A) would indicate a need to stop the infusion, while headache (choice
C) and chest pain (choice
D) are not direct indicators of the effectiveness of the dopamine infusion in treating hypotension in septic shock.
Question 5 of 5
A nurse is providing discharge teaching to a client who will receive total parenteral nutrition (TPN) at home. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to weigh themselves daily and record their weight. Daily weight monitoring is crucial to assess fluid status and nutritional status for clients receiving TPN. Weight changes can indicate fluid retention or dehydration. It helps healthcare providers adjust the TPN formula accordingly.
A: Incorrect. Central line dressing changes are typically done every 48 to 72 hours to reduce the risk of infection.
C: Incorrect. TPN containers should be changed every 24 hours due to the risk of bacterial contamination.
D: Incorrect. The rate of TPN infusion should never be adjusted without healthcare provider approval to avoid complications like hyperglycemia or electrolyte imbalances.