RN ATI PHARMACOLOGY PROCTORED EXAM 2023 WITH
NGN
,
,
, Anaphylactic Reaction - answer-;Client develops an anaphylactic reaction to IV administration.
151.) A client is being treated for acute congestive heart failure with intravenously
administered bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse,
96 beats/min; and respirations, 24 breaths/min. After the initial dose, which of the following is
the priority assessment?
1. Monitoring weight loss
2. Monitoring temperature
3. Monitoring blood pressure
4. Monitoring potassium level - answer-;3. Monitoring blood pressure
Rationale:
Bumetanide is a loop diuretic. Hypotension is a common side effect associated with the use of
this medication. The other options also require assessment but are not the priority.
**priority ABCs—airway, breathing, and circulation**
152.) Intravenous heparin therapy is prescribed for a client. While implementing this
prescription, a nurse ensures that which of the following medications is available on the nursing
unit?
1. Protamine sulfate
2. Potassium chloride
3. Phytonadione (vitamin K )
4. Aminocaproic acid (Amicar) - answer-;1. Protamine sulfate
Rationale:
The antidote to heparin is protamine sulfate; it should be readily available for use if excessive
bleeding or hemorrhage occurs. Potassium chloride is administered for a potassium deficit.
Vitamin K is an antidote for warfarin sodium. Aminocaproic acid is the antidote for thrombolytic
therapy.
NGN
,
,
, Anaphylactic Reaction - answer-;Client develops an anaphylactic reaction to IV administration.
151.) A client is being treated for acute congestive heart failure with intravenously
administered bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse,
96 beats/min; and respirations, 24 breaths/min. After the initial dose, which of the following is
the priority assessment?
1. Monitoring weight loss
2. Monitoring temperature
3. Monitoring blood pressure
4. Monitoring potassium level - answer-;3. Monitoring blood pressure
Rationale:
Bumetanide is a loop diuretic. Hypotension is a common side effect associated with the use of
this medication. The other options also require assessment but are not the priority.
**priority ABCs—airway, breathing, and circulation**
152.) Intravenous heparin therapy is prescribed for a client. While implementing this
prescription, a nurse ensures that which of the following medications is available on the nursing
unit?
1. Protamine sulfate
2. Potassium chloride
3. Phytonadione (vitamin K )
4. Aminocaproic acid (Amicar) - answer-;1. Protamine sulfate
Rationale:
The antidote to heparin is protamine sulfate; it should be readily available for use if excessive
bleeding or hemorrhage occurs. Potassium chloride is administered for a potassium deficit.
Vitamin K is an antidote for warfarin sodium. Aminocaproic acid is the antidote for thrombolytic
therapy.
