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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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American: Urticaria ~ 5mos ago

1 1

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:

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

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

Exhibits

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? ~ 7mos ago

0 0

Dortea: the answer choice and explanation do not make sense ~ 8mos ago

4 4

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:

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.

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

Exhibits

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. ~ 7mos ago

1 1

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. ~ 9mos ago

2 2

DAVID OSE: levodopa/carb is the medication ~ 9mos ago

0 0

Anonymous User: there is no mention of the name of medication ~ 10mos ago

9 9

DAVID OSE: Parkinson medication is the above medication ~ 9mos ago

0 0

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