ATI RN
ATI RN Pharmacology 2019 I Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is 0.6 mEq/L. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A lithium level of 0.6 mEq/L is at the lower end of the therapeutic range; a dosage increase may be needed for optimal efficacy.
Question 2 of 5
A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Staying upright for 15 minutes after taking ferrous gluconate prevents esophageal irritation, indicating correct understanding.
Question 3 of 5
A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first?
Correct Answer: C
Rationale: Fluid replacement with 0.9% sodium chloride is the first intervention to correct dehydration and dilute blood glucose in diabetic ketoacidosis.
Question 4 of 5
A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPTT of 90 seconds. The nurse should monitor the client for which of the following changes in their vital signs?
Correct Answer: A
Rationale: An aPTT of 90 seconds indicates over-anticoagulation, increasing bleeding risk, which may manifest as an increased pulse rate due to hypovolemia.
Question 5 of 5
A nurse is caring for a client who is receiving prednisone on a long-term basis to treat inflammatory bowel disease. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Long-term prednisone use increases osteoporosis risk; a high-calcium diet supports bone health.