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Exam Review

ATI RN Pharmacology 2023

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Total Questions : 65

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Question 1:

A nurse is administering medications to a client who weighs 132 lb. The prescription reads chloramphenicol, 50mg/kg/day in 4 divided doses. Available is chloramphenicol 100 mg/mL. How many mL should the nurse give with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "7.5" mL

Explanation

Convert the client's weight from pounds to kilograms. We can use the formula 1 kg = 2.2 lb. So, 132 lb / 2.2 = 60 kg.

Calculate the total daily dose of chloramphenicol for the client. We can use the formula Dose (mg) = Weight (kg) x Dosage (mg/kg). So, 60 kg x 50 mg/kg = 3000 mg.

Divide the total daily dose by 4 to get the dose for each administration. So, 3000 mg / 4 = 750 mg.

Calculate the volume of chloramphenicol solution needed for each dose. We can use the formula Volume (mL) = Dose (mg) / Concentration (mg/mL). So, 750 mg / 100 mg/mL =

7.5 mL.

Round the answer to the nearest tenth. So, the nurse should give 7.5 mL of chloramphenicol solution with each dose.


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Question 2:

A nurse is planning to administer medications to a client who weighs 198 lb. The prescription reads, "filgrastim 5 mcg/kg, subcutaneous, daily." Available is filgrastim 300 mcg/mL. How many mL should the nurse plan to give with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "1.5" mL

Explanation

Convert the client's weight from pounds to kilograms by dividing by 2.2. 198 lb / 2.2 = 90 kg

Calculate the dose of filgrastim in micrograms by multiplying the client's weight in kilograms by the prescribed dose per kilogram. 90 kg x 5 mcg/kg = 450 mcg

Calculate the volume of filgrastim in milliliters by dividing the dose in micrograms by the concentration of the available solution. 450 mcg / 300 mcg/mL = 1.5 mL

Round the answer to the nearest tenth. The nurse should plan to give 1.5 mL of filgrastim with each dose.


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Question 3:

A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?

Answer and Explanation

A
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Question 4:

A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

Answer and Explanation

A
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Question 5:

A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?

Answer and Explanation

A
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Question 6:

A nurse is caring for a client with gingivitis in the clinic.

Vital Signs 1 week ago:

Temperature 37 C (98.6° F) Heart rate 64/min

Respiratory rate 12/min

Blood pressure 118/72 mm Hg Today:

Temperature 37.2° C (98.9° F) Heart rate 82/min

Respiratory rate 16/min

Blood pressure 110/68 mm Hg

Which of the following client statements indicates to the nurse the teaching was effective?

Answer and Explanation

A
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Anonymous User: S So what the answer? ~ 3w ago

0 0

Dortea: the answer choice and explanation do not make sense ~ 1mo ago

2 2

Question 7:

A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV bolus. Which of the following manifestations should the nurse identify as an indication of a therapeutic response to the medication?

Answer and Explanation

A
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Question 8:

A nurse in a provider's office is caring for a client.

Nurses' Notes

3 months ago:

Client seen in provider's office for routine physical. Today:

Client reports dizziness and light-headedness upon standing. Client reports waking up at night to void.

What actions should the nurse take? Select all that apply.

Answer and Explanation

A
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Question 9:

A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?

Answer and Explanation

A
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Question 10:

A nurse is caring for a client in a provider's office.

Nurses' Notes Day 1:

Client presents for evaluation of neurological changes, including stiffness of lower extremities, and shaking of hands. Client is married, has no known allergies, and no surgical history. Client is a retired airline pilot and the parent of five adult children.

Day 7:

Client reports having trouble sleeping due to nightmares and states, "I'm not sure this medication is doing what it's supposed to do." Client reports daily nausea.

Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.

Answer and Explanation

A
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3 Pulse Checks

Lin Q: B is incorrect. Dark urine. ~ 1mo ago

0 0

Student Nurse: yeah, I don't understand how we supposed to answer a question on what patient teaching to give the client if we don't even know what the prescribed medication is. ~ 3mos ago

1 1

DAVID OSE: levodopa/carb is the medication ~ 2mos ago

0 0

Anonymous User: there is no mention of the name of medication ~ 4mos ago

9 9

DAVID OSE: Parkinson medication is the above medication ~ 2mos ago

0 0

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