ATI Pharmacology Proctored Exam 2019

Questions 122

ATI RN

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ATI Pharmacology Proctored Exam 2019 Questions

Question 1 of 5

A client has a new prescription for a Nitroglycerin transdermal patch. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: The correct instruction is to apply the Nitroglycerin transdermal patch to a hairless area of skin. This is important for proper absorption of the medication. Additionally, rotating the patch to different sites each day helps prevent skin irritation and ensures optimal therapeutic effect. Applying the patch to the same site each day can lead to skin irritation or tolerance development. Removing the patch at night is not necessary as the patch is typically worn continuously to provide a consistent level of medication. Covering the patch with a heating pad is contraindicated as it can increase drug absorption, potentially leading to adverse effects.

Question 2 of 5

A client is reviewing a new prescription for Terbutaline with a history of preterm labor. Which of the following client statements indicates understanding of the teaching?

Correct Answer: C

Rationale: The correct answer is C. The client should report increasing intensity, frequency, or duration of contractions to the provider as these are signs of preterm labor. Monitoring contractions is crucial for the management of preterm labor and the safety of both the client and the fetus.

Question 3 of 5

A client is prescribed Diltiazem. Which of the following findings should the nurse monitor?

Correct Answer: B

Rationale: Diltiazem is a calcium channel blocker that can cause bradycardia as an adverse effect due to its negative chronotropic properties, slowing down the heart rate. Therefore, the nurse should monitor the client for signs of bradycardia by regularly assessing the heart rate to prevent potential complications.

Question 4 of 5

A client is taking Spironolactone. Which of the following laboratory findings should the nurse monitor and report to the provider?

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia (elevated potassium levels). A potassium level of 5.2 mEq/L is elevated and should be reported to the provider for further evaluation and management to prevent potential complications.

Question 5 of 5

A healthcare professional is preparing to administer Filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following interventions is appropriate?

Correct Answer: D

Rationale: When administering Filgrastim, only one dose should be withdrawn from the vial, and the vial should then be discarded. This medication should not be shaken but gently inverted to mix it before withdrawing the appropriate dose. It is important to follow these guidelines to ensure the medication's efficacy and prevent contamination or errors in dosing. Refrigeration is not required for Filgrastim; it should be stored at room temperature until just before administration.

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