ATI RN
ATI RN Pharmacology 2019 I Questions
Extract:
Question 1 of 5
A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?
Correct Answer: A
Rationale: Filgrastim should not be administered within 24 hours of chemotherapy, as it may exacerbate myelosuppression, necessitating an incident report.
Question 2 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Daily weight monitoring assesses nutritional status and fluid balance in clients receiving TPN.
Question 3 of 5
A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?
Correct Answer: B
Rationale: Acetaminophen is metabolized by the liver, and a history of alcohol use disorder may indicate compromised liver function, increasing the risk of hepatotoxicity. The nurse should notify the provider to assess the safety of administering acetaminophen.
Question 4 of 5
A nurse is interviewing a client who reports a desire to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?
Correct Answer: B
Rationale: Bupropion is approved to aid smoking cessation by reducing cravings and withdrawal symptoms.
Question 5 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.