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: The correct answer is B: WBC count. Filgrastim is a medication that stimulates the production of white blood cells (WBCs). Monitoring the WBC count is essential to evaluate the effectiveness of the treatment as an increase in WBC count indicates the medication is working to boost the immune system.
Incorrect options:
A: INR (International Normalized Ratio) is used to monitor the effectiveness of anticoagulant therapy, not filgrastim.
C: Potassium level monitoring is important for clients taking certain medications that can affect potassium levels, but not specifically for evaluating the effectiveness of filgrastim.
D: BUN (Blood Urea Nitrogen) is a measure of kidney function and hydration status, not related to evaluating the effectiveness of filgrastim.
Question 2 of 5
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Elevate the extremity. Elevating the extremity helps to reduce swelling at the infiltration site by promoting fluid drainage and decreasing tissue damage. It aids in preventing further infiltration and promotes proper circulation. Slowing the infusion rate (
A) may not be sufficient to address the existing infiltration. Flushing the IV catheter (
B) may worsen the infiltration by pushing more fluid into the tissue. Applying pressure (
C) may not be effective and could cause discomfort. In summary, elevating the extremity is the most appropriate action to manage infiltration.
Question 3 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: The correct answer is C because administering insulin 1 hour before scheduled is a medication error that could potentially harm the client. Incident reports are necessary to document any deviations from standard procedures to ensure proper investigation and prevention of future errors.
Choices A, B, and D are situations that require immediate action but do not necessarily warrant an incident report as they are within the scope of normal nursing care.
Question 4 of 5
A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is important because insulin dosages need to be precise, and using reading glasses ensures accurate measurement, reducing the risk of under- or overdosing. Using the deltoid muscle as an injection site (
A) is not appropriate for insulin glargine, as it should be injected into the subcutaneous tissue of the abdomen, thigh, or upper arm. Administering insulin glargine before each meal (
B) is incorrect as it is a long-acting insulin usually given once daily at the same time. Taking an additional dose prior to exercise (
C) is not necessary and can lead to hypoglycemia.
Question 5 of 5
A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?
Correct Answer: B
Rationale: The correct answer is B: Prochlorperazine. Prochlorperazine is an antiemetic medication used to treat severe vomiting. It works by blocking dopamine receptors in the brain, helping to relieve nausea and vomiting. Propafenone (
A) is an antiarrhythmic medication, not indicated for vomiting. Metformin (
C) is used to treat diabetes, not vomiting. Simvastatin (
D) is a statin medication used to lower cholesterol, not for vomiting. In this scenario, the nurse should administer Prochlorperazine to help alleviate the client's severe vomiting.