ATI RN
ATI RN Pharmacology 2023 Retake 2 Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
Correct Answer: A
Rationale: The correct answer is A: WBC count. Filgrastim is a medication that stimulates the production of white blood cells (WBCs). By monitoring the WBC count, the nurse can assess the effectiveness of filgrastim in increasing the client's WBC levels, which is crucial for fighting infections. Monitoring other laboratory values such as INR (choice
B), BUN (choice
C), and potassium level (choice
D) would not directly evaluate the effectiveness of filgrastim in this context. INR is used to monitor blood clotting time, BUN assesses kidney function, and potassium level indicates electrolyte balance, none of which are directly related to the action of filgrastim on WBC production.
Question 2 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: B
Rationale: The correct answer is B: Pruritus. Pruritus, or itching, is a common symptom of an allergic reaction. When a client is allergic to cefaclor, their immune system reacts to the medication, causing histamine release which can result in itching. Hematuria (
A) is blood in the urine, not typically associated with allergic reactions. Slurred speech (
C) and tremor (
D) are not common signs of allergic reactions to cefaclor.
Question 3 of 5
A nurse is preparing to administer a medication to a client. Using the rights of medication administration, which of the following actions should the nurse take to ensure the right medication is administered to the client?
Correct Answer: D
Rationale:
Correct
Answer: D - Verify a written order with the medication administration record.
Rationale: Verifying a written order with the medication administration record ensures that the nurse is administering the correct medication as prescribed by the healthcare provider. This step helps prevent medication errors and ensures patient safety by confirming that the right medication is being administered to the right patient at the right time and in the right dose.
Summary of Other
Choices:
A: Asking another nurse to check the medication dosage is a good practice for double-checking, but it does not directly ensure the right medication is being administered.
B: Using two client identifiers is important for patient safety, but it does not specifically address verifying the medication being administered.
C: Documenting the full name of the medication after administration is a documentation step and does not guarantee that the right medication was administered.
E, F, G: No information provided.
Question 4 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: B
Rationale: The correct answer is B: Pruritus. Pruritus, or itching, is a common symptom of an allergic reaction. When a client develops pruritus after taking cefaclor, it indicates a potential allergic response. Hematuria, slurred speech, and tremor are not typically associated with allergic reactions to cefaclor. Hematuria suggests a possible kidney-related issue, slurred speech may indicate neurological impairment, and tremor could be a side effect of the medication but not necessarily an allergic reaction.
Question 5 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate. Propranolol is a beta-blocker that primarily works by decreasing heart rate and blood pressure.
Therefore, it is essential for the nurse to assess the client's heart rate before administering the medication to ensure it is within the safe range. Monitoring heart rate helps prevent potential complications like bradycardia or heart block. Assessing pain level (
A), respiratory rate (
B), and temperature (
D) may be important for overall patient assessment but are not directly related to propranolol administration.