ATI RN
ATI RN Pharmacology 2019 Exam 6 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Weekly nasal cyanocobalamin in one nostril is the standard regimen for pernicious anemia, ensuring adequate vitamin B12 absorption.
Question 2 of 5
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine. The nurse should report which of the following laboratory values to the provider?
Correct Answer: C
Rationale: Cyclosporine can cause nephrotoxicity. A creatinine level of 2.5 mg/dL indicates potential kidney impairment, requiring immediate reporting to adjust therapy.
Question 3 of 5
A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Polypharmacy, multiple health problems, and decreased renal function increase adverse drug reaction risk in older adults due to interactions and impaired clearance.
Question 4 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: D
Rationale: Fluid resuscitation with 0.9% sodium chloride restores volume and flushes ketones, the priority in DKA management.
Question 5 of 5
A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?
Correct Answer: C
Rationale: Calcium gluconate antagonizes magnesium's effects, treating hypermagnesemia by restoring normal neuromuscular function.