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ATI RN Pharmacology Practice A & B Test Bank | Comprehensive Q&A with Verified Solutions

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Boost your exam performance with this comprehensive test bank for the ATI RN Pharmacology Practice A & B. This document provides verified solutions and detailed rationales for critical nursing pharmacology topics, ensuring you are fully prepared for your proctored assessments. Key topics covered in this study guide include: • Medication Administration & Calculations: Master dosage calculations (mcg/kg/day, gtt/min) and the "rights" of medication administration. • High-Alert Medications: In-depth Q&A on Warfarin, Heparin, Digoxin, Insulin, and Lithium, including necessary lab monitoring like PT, INR, and aPTT. • Antidotes & Reversal Agents: Quick reference for life-saving interventions such as Protamine for Heparin, Vitamin K for Warfarin, Naloxone for opioids, and DIGIfab for Digoxin toxicity. • Adverse Effects & Contraindications: Essential knowledge on side effects like angioedema from ACE inhibitors, tinnitus from cisplatin, and the risk of hypotension with epidural anesthesia. • Nursing Interventions: Priority actions for anaphylaxis, TPN management, and orthostatic hypotension. This guide is designed for nursing students looking for a structured way to review pharmacokinetics, pharmacodynamics, and safe medication practices.

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ATI RN Pharmacology Practice A & B Test Bank |
Comprehensive Q&A with Verified Solutions.




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?

A. PT
B. Total iron-binding capacity
C. WBC
D. PTT - ANSWER-A. PT

A nurse is caring for a group of clients. Which of the following
situations requires an incident report?

A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late. - ANSWER-C. A client
receives their insulin 1 hour before scheduled.

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?

A. Oxycodone blocks the sodium channel suspending nerve conduction.
B. Oxycodone promotes vasodilation of cranial arteries.

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C. Oxycodone causes central nervous system depression.
D. Oxycodone inhibits prostaglandin synthesis. - ANSWER-C.
Oxycodone causes central nervous system depression.

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.) - ANSWER-50gtt/min

A nurse is preparing to transcribe a prescription for a client that reads
"ondansetron 8 mg by mouth every 12 hr PRN." Which of the following
parts of the prescription should the nurse clarify with the provider?

A. Dose
B. Route
C. Frequency
D. Reason - ANSWER-D. Reason

1. A nurse is caring for a client who has a prescription for nifedipine.
Which of the following findings should the nurse assess prior to
administration of the medication?

A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation - ANSWER-A. Blood pressure

A nurse is providing teaching to a client who has a new prescription for
carbamazepine for the treatment of seizures. The nurse should instruct
the client to monitor for which of the following adverse effects?

A. Blurred vision
B. Insomnia

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C. Metallic taste
D. Tachypnea - ANSWER-A. Blurred vision

A nurse is reviewing the laboratory data of a client who is receiving
filgrastim. Which of the following laboratory values should the nurse
monitor to evaluate the effectiveness of the treatment?

A. Potassium level
B. BUN
C. INR
D. WBC count - ANSWER-D. WBC count

A nurse is caring for a client who is receiving parenteral nutrition and
identifies that the client has hypoglycemia. Which of the following
actions should the nurse take?

A. Discontinue the infusion.
B. Administer IV dextrose.
C. Warm formula to room temperature.
D. Obtain arterial blood gases. - ANSWER-B. Administer IV dextrose.

A nurse is assessing a client who has septic shock and is receiving
dopamine by continuous IV infusion. Which of the following findings
indicates that the nurse should increase the rate of infusion?

A. Headache
B. Hypotension
C. Chest pain
D. Extravasation - ANSWER-B. Hypotension

A nurse is caring for a client who is taking warfarin and reports taking
several new herbal supplements. The nurse should identify which of the
following supplements is contraindicated for concurrent use with
warfarin?

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A. Ginkgo biloba
B. Coenzyme
C. Valerian
D. Probiotics - ANSWER-A. Ginkgo biloba

A nurse is assessing a client with hypertension who is receiving
propranolol. Which of the following findings requires the nurse's
intervention?

A. Heart rate of 56/min
B. Sa02 95% on 2 L/min of oxygen
C. Respirations 22/min
D. Blood pressure 106/68 mm Hg - ANSWER-A. HR of 56/min

A nurse is preparing to administer the varicella vaccine to a group of
clients. The nurse should identify which of the following clients as
having a contraindication for receiving this immunization?

A. An older adult client living in a long-term care facility.
B. A young adult who has an allergy to eggs C. A child who recently
received the human papillomavirus vaccine.
D. A client who has AIDS - ANSWER-D. A client who has AIDS

A nurse is caring for a client who is experiencing severe vomiting.
Which of the following medications should the nurse plan to administer?

A. Propafenone
B. Simvastatin
C. Prochlorperazine
D. Metformin - ANSWER-C. Prochlorperazine

A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous
to a client who weighs 143 lb. How many mcg should the nurse
administer per day? (Round the answer to the nearest whole number.

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