ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Provider Prescriptions 1230:
0.9% sodium chloride 500 mL bolus then 100 mL/hr.
Type and cross match for 2 units of packed RBCs.
Repeat WBC, hemoglobin, hematocrit STAT.
Delay endoscopy.
2L/min O, via nasal cannula,
1330:
2 units packed RBCs IV over 4 hr.
Repeat WBC, hemoglobin, hematocrit at transfusion completion
Question 1 of 5
The nurse is ready to begin the blood transfusion. For each potential nursing action, click to specify if the action is indicated or not indicated for the client.
| Nursing Action | Indicated | Not Indicated |
|---|---|---|
| Document the blood product transfusion in the client's medical record. | ||
| Stay with the client for the first 15 min of the transfusion. | ||
| Titrate the rate of infusion to maintain the client's blood pressure at least 90/60 mm Hg. | ||
| Obtain the first unit of packed RBCs from the blood bank. | ||
| Start an IV bolus of lactated Ringer's solution. |
Correct Answer: B
Rationale: [0, 1, 0, 0]
The correct answer is Stay with the client for the first 15 min of the transfusion. This action is indicated to monitor for adverse reactions such as fever, chills, or signs of hemolysis. Documenting the blood product transfusion (
A) is important but not a priority during the initial phase. Titrating the infusion rate (
C) and obtaining the blood product (
D) are essential, but staying with the client for monitoring takes precedence. Starting an IV bolus (E) is not related to blood transfusion monitoring.
Extract:
Question 2 of 5
A nurse is caring for a client receiving gentamicin. Which of the following should the nurse monitor the client for?
Correct Answer: C
Rationale: The correct answer is C: Polyuria. Gentamicin is an antibiotic known to potentially cause kidney damage, leading to impaired kidney function and decreased urine output.
Therefore, monitoring for polyuria (excessive urine output) is crucial to assess the client's renal function. Prostephobia, Tireibus, and Tathyramda are not known side effects or complications associated with gentamicin use. Prostephobia is not a medical term, and Tireibus and Tathyramda are not relevant to gentamicin therapy. The nurse should focus on monitoring the client for signs of kidney damage, such as changes in urine output, in this scenario.
Extract:
Provider Prescrptions
2 deys later
Ferrous sufate 325 mg PO every other cay. Laboratory Results
0930hrs
Feman 7 agiml (1012 150 ngrmi)
Iron 45 meg/dL (60 to 160 megrdl)
Hemagiobin
Question 3 of 5
For each of the following client statements, click to specify whether the statement indicates an understanding or no understanding of the teaching.
| Client Statement | Understanding | No understanding |
|---|---|---|
| If I experience black stools, I should notify my provider. | ||
| I should rinse my mouth after taking this medication. | ||
| I should avoid taking antacids while on this medication. | ||
| I should take this medication with orange juice. | ||
| I should take my medication on an empty stomach. |
Correct Answer: D
Rationale: [1, 0, 0, 0]
The correct answer is D. Taking medication with orange juice is often mentioned for specific medications that require acidic environments for absorption. This statement demonstrates an understanding of the medication regimen.
Choices A, B, and C are incorrect as they do not directly relate to the medication instructions.
Choice E is also incorrect as it contradicts the specific instruction provided in choice D.
Extract:
Question 4 of 5
A nurse Is evaluating the laboratory results of four clents. The nurse should report which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: A client with a prescription for heparin and an aPTT of 90 seconds indicates that the client's blood is taking too long to clot, which puts the client at risk for bleeding. The aPTT range for a client on heparin therapy is 30-40 seconds, so a result of 90 seconds is significantly elevated and requires immediate attention to prevent bleeding complications.
Summary of other choices:
B: A client with a prescription for heparin and an aPTT of 65 seconds falls within the normal range of 30-40 seconds, so this result does not require immediate reporting.
C: A client with a prescription for warfarin and an INR of 3.0 is within the therapeutic range (2-3) for warfarin therapy, so this result does not require immediate reporting.
D: A client with a prescription for warfarin and an INR of 2.0 is also
Question 5 of 5
A nurse inadvertently administers 160 mg of valsartan PO to a client who was scheduled to receive 80 mg. Which of the following actions is the priority for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Evaluate the client for orthostatic hypotension. This is the priority because an overdose of valsartan, a medication used to treat hypertension, can lead to a sudden drop in blood pressure. Orthostatic hypotension is a potential complication that can result from this overdose, and it requires immediate assessment and intervention to prevent further complications such as falls or decreased perfusion to vital organs. Monitoring urine output (
B) is important for some medications but is not the priority in this case. Obtaining laboratory results (
C) may be necessary in the long term but is not urgent in this situation. Checking for nasal congestion (
D) is not relevant to the issue at hand.