ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
An older adult client will be taking a vasodilator for hypertension. Which adverse effect is of most concern for the older adult client taking this class of drug?
Correct Answer: D
Rationale: Vasodilators reduce peripheral vascular resistance, causing hypotension, which increases fall risk in older adults.
Question 2 of 5
A client is admitted with a fever of 102.80 F (39.30 C), origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in which sequence?
Correct Answer: A
Rationale: Blood and urine cultures can be collected in whichever order. However, they should be taken before antibiotic therapy. Giving antibiotics before sample collection interferes with the identification of the causative agents.
Question 3 of 5
A nurse is reinforcing teaching about Vancomycin with a client who has an infection. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Vancomycin is ototoxic, and changes in hearing should be reported.
Question 4 of 5
A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is I5 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Flow rate (gtt/min) = Volume (mL)/Time (min) × Drop factor (gtts/mL) = 250/120 × 15 = 31 gtt/min.
Question 5 of 5
A client had abdominal surgery this morning. The client is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the client?
Correct Answer: A
Rationale: Morphine can cause respiratory depression, making respiratory rate a priority assessment.