ATI RN
ATI RN Pharmacology 2019 II Questions
Extract:
Question 1 of 5
A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?
Correct Answer: D
Rationale: An aPTT of 90 seconds is significantly prolonged post-heparin, indicating possible excessive anticoagulation, requiring an incident report.
Question 2 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?
Correct Answer: D
Rationale: High-ceiling diuretics like furosemide can cause hypokalemia, which increases the risk of digoxin toxicity.
Question 3 of 5
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take.
Correct Answer: A,B,C,D
Rationale: The correct sequence ensures safety: retrieve medication, verify client identity, prepare the dose, and document administration.
Question 4 of 5
A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Pruritus is a common side effect of epidural morphine due to histamine release, requiring monitoring and possible intervention.
Question 5 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: Dizziness upon standing suggests orthostatic hypotension, a potential side effect of furosemide, requiring provider notification.