ATI RN
ATI Pharmacology 2023 Questions
Extract:
Vital Signs Day 1:
Temperature 36.2 0 C (97.20 F) Respiratory rate 18/min
Heart rate 74/min
Blood pressure 1 1 8/68 mm Hg Sp02 96% on room air
Day 7:
Temperature 36.9 0 C (98.40 F) Heart rate 86/min
Respiratory rate 18/min Blood pressure 98/66 mm Hg Sp02 97% on room air
Provider Prescriptions Day 1:
Levodopa 250 mg/Carbidopa 25 mg 1 tablet daily Day
7:
Levodopa 250 mg/Carbidopa 25 mg 2 tablets daily
Question 1 of 5
Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
Correct Answer: A,B,D,E,F
Rationale: The correct statements to include when teaching the client about the prescribed medication are A, B, D, E, and F.
A: Consumption of a high-protein meal can reduce the effectiveness of the medication - Important for optimizing medication efficacy.
B: You can experience vivid nightmares - Warns of potential side effect.
D: The medication can cause nausea, so take with a meal - Helps manage potential side effect.
E: This medication can make you light-headed if you stand up too quickly from a seated or lying position - Warns of potential adverse effect.
F: You may initially notice an increase in involuntary movements - Informs about potential side effect.
These statements cover important aspects such as medication effectiveness, common side effects, how to manage side effects, and potential adverse effects. Other choices are incorrect because they do not address key information related to the medication's effects, side effects, or how to manage them effectively.
Extract:
Question 2 of 5
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?
Correct Answer: A
Rationale: The correct answer is A: PT (Prothrombin Time). Prothrombin Time measures the extrinsic pathway of the coagulation cascade, which is directly affected by warfarin. By reviewing the PT, the nurse can assess the client's clotting time and ensure that the warfarin dose is appropriate.
Total iron-binding capacity (
B) is not relevant to warfarin administration. White blood cell count (
C) assesses immune function, not clotting factors affected by warfarin. Partial Thromboplastin Time (
D) measures the intrinsic pathway of coagulation, not directly affected by warfarin.
Question 3 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: The correct answer is C because administering insulin 1 hr before scheduled time can have serious consequences on the client's blood sugar levels. Incident reports are required for any unexpected or adverse events that occur during client care.
Choices A and B are expected outcomes that do not necessarily require incident reports.
Choice D, receiving a meal tray late, is a minor issue that does not pose immediate harm to the client.
Question 4 of 5
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
Correct Answer: C
Rationale: The correct answer is C: Oxycodone causes central nervous system depression. Oxycodone is an opioid analgesic that acts on the central nervous system (CNS) to relieve pain. One of the side effects of opioids like oxycodone is respiratory depression, which can lead to a decreased respiratory rate. This occurs because opioids suppress the activity of the brainstem respiratory centers, resulting in shallow breathing and decreased respiratory rate.
Choices A, B, and D are incorrect as they do not directly relate to the respiratory depression caused by oxycodone.
Choice A is related to local anesthetics, not opioids.
Choice B is related to migraine treatment.
Choice D is related to NSAIDs, not opioids.
Question 5 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is I5 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (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:
To calculate the IV infusion rate, first, convert the infusion time to minutes (30 min).
Then, calculate the total volume to be infused (100 mL). Next, determine the total number of drops needed (15 gtt/mL x 100 mL) = 1500 drops. Finally, divide the total drops by the infusion time in minutes (1500 drops / 30 min) = 50 gtt/min. This is why choice A (50) is correct.
Choices B, C, and D are incorrect as they do not match the calculated infusion rate.