Questions 65

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ATI RN Pharmacology 2019 Questions

Extract:


Question 1 of 5

A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?

Correct Answer: C

Rationale: Cefuroxime, a cephalosporin, may cause allergic reactions in penicillin-allergic clients, making this a priority. Other findings are less critical.

Question 2 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 excessive anticoagulation, increasing bleeding risk. Increased pulse rate signals blood loss.

Question 3 of 5

A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

Correct Answer: D

Rationale: Pioglitazone, a thiazolidinedione, commonly causes fluid retention. Other effects are unrelated.

Question 4 of 5

A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer?

Correct Answer: A

Rationale: Fentanyl transmucosal is fast-acting for breakthrough pain in opioid-tolerant patients. Lidocaine patches treat localized pain, morphine tablets are slow-acting, and naloxone reverses opioid effects, not pain.

Question 5 of 5

A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?

Correct Answer: D

Rationale: A potassium level of 5.2 mEq/L indicates hyperkalemia, a risk with amitriptyline, potentially causing arrhythmias. Other values are within normal ranges.

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