ATI RN
ATI RN Pharmacology 2023 II 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: B
Rationale: WBC count (White Blood Cell count) is the primary laboratory value to monitor when evaluating the effectiveness of filgrastim. Filgrastim is a granulocyte colony-stimulating factor that promotes the production of neutrophils, a type of white blood cell. An increase in WBC count indicates that the treatment is effective.
Question 2 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hours after taking levothyroxine before taking which of the following supplements?
Correct Answer: C
Rationale: Calcium is known to interfere with the absorption of levothyroxine. Calcium supplements can bind to levothyroxine in the gastrointestinal tract, reducing its absorption.
Therefore, it is recommended to wait at least 4 hours after taking levothyroxine before consuming calcium supplements.
Question 3 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 mL via intermittent IV bolus over 30 minutes. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 50
Rationale:
Step 1: Determine the total volume (100 mL).
Step 2: Determine the time (30 minutes).
Step 3: Calculate the flow rate in mL/min (100 mL ÷ 30 min = 3.33 mL/min).
Step 4: Calculate gtt/min (3.33 mL/min × 15 gtt/mL = 49.95 gtt/min).
Step 5: Round to 50 gtt/min.
Question 4 of 5
A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?
Correct Answer: D
Rationale: Decrease in respiratory rate is a significant adverse effect of propofol. Propofol can cause respiratory depression, leading to hypoventilation or apnea. Monitoring respiratory rate and ensuring adequate ventilation is crucial after propofol administration.
Question 5 of 5
A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?
Correct Answer: D
Rationale: Decreased ascites is a direct indicator that spironolactone is effective. Spironolactone is a diuretic used to reduce fluid accumulation in the abdomen (ascites) associated with liver cirrhosis. A reduction in ascites indicates that the medication is working as intended.