ATI Pharmacology 2016 Practice Exam A

ATI Pharmacology 2016 Practice Exam A Related

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A client received IV Verapamil to treat supraventricular tachycardia (SVT). The client's pulse rate is now 98/min, and blood pressure is 74/44 mm Hg. The nurse should anticipate a prescription for which of the following IV medications?

  • A. Calcium gluconate
  • B. Sodium bicarbonate
  • C. Potassium chloride
  • D. Magnesium sulfate
Correct Answer: A

Rationale: In this situation, where the client's blood pressure is significantly lowered due to Verapamil administration, the nurse should anticipate a prescription for Calcium gluconate. Calcium gluconate is used to reverse severe hypotension caused by Verapamil. It should be given slowly intravenously as it counteracts the vasodilation caused by Verapamil, helping to normalize blood pressure levels.

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A healthcare professional is preparing to administer heparin 15,000 units subcutaneously every 12 hours. The available heparin injection is 20,000 units/mL. How many milliliters should the healthcare professional administer per dose?

  • A. 0.8 mL
  • B. 0.75 mL
  • C. 0.5 mL
  • D. 1 mL
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A client is starting therapy with topotecan. Which of the following findings should the nurse instruct the client to report?

  • A. Hair loss
  • B. Fatigue
  • C. Sore throat
  • D. Red urine
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A client has a new prescription for transdermal patches. Which statement should the client make to indicate understanding of the instructions?

  • A. I will clean the site with an alcohol swab before applying the patch.
  • B. I will rotate the application sites weekly.
  • C. I will apply the patch to an area of skin with no hair.
  • D. I will place the new patch on the site of the old patch.
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A client who received Prochlorperazine 4 hours ago reports spasms of his face. The nurse should anticipate a prescription for which of the following medications?

  • A. Fomepizole
  • B. Naloxone
  • C. Phytonadione
  • D. Diphenhydramine
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness?

  • A. Reduced cardiac function
  • B. First-pass effect
  • C. Reduced hepatic function
  • D. Increased gastric motility
Correct Answer: C

Rationale: In older adults, reduced hepatic function can lead to prolonged effects of medications metabolized by the liver. This situation can result in increased drug levels in the body, causing drowsiness and other side effects. Adjusting the dosage of the hypnotic medication may be necessary to prevent such adverse effects in older adult clients.

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