VATI Custom: 2019 RN VATI Pharmacological
Therapies questions with correct answers
A nurse caring for a client who has hypertension and asks the nurse
about a prescription for propranolol. The nurse should inform the client
that this medication is contraindicated in clients who have a history of
which of the following conditions? Correct Answer-Asthma
Propranolol, a beta-blocker, is contraindicated in clients who have
asthma because it can cause bronchospasms. Propranolol blocks the
sympathetic stimulation, which prevents smooth muscle relaxation.
A nurse is preparing to transfuse one unit of packed RBC to a client who
experienced a mild allergic reaction during a previous transfusion. The
nurse should administer diphenhydramine prior to the transfusion for
which of the following allergic responses? Correct Answer-Urticaria
For clients who have previously had allergic reactions to blood
transfusions, administering an antihistamine such as diphenhydramine
prior to the transfusion might prevent future reactions. Allergic reactions
typically include urticaria (hives).
A nurse is caring for a client who has preeclampsia and is being treated
with magnesium sulfate IV. The client's respiratory rate is 10/min and
deep-tendon reflexes are absent. Which of the following actions should
the nurse take? Correct Answer-Discontinue the medication infusion.
, Magnesium toxicity is manifested by bradypnea (respiratory rate less
than 12/min) and absent deep tendon reflexes. The magnesium sulfate
infusion should be discontinued and calcium gluconate administered via
IV.
A nurse is caring for a client who is postoperative following an
appendectomy and is prescribed D5 lactated Ringer's at 150 mL/hr by
continuous IV infusion for 12 hr. The drop factor of the manual IV
tubing is 20 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.)
Correct Answer-50 gtt/min
A nurse is caring for a client who is taking lisinopril. Which of the
following outcomes indicates a therapeutic effect of the medication?
Correct Answer-Decreased blood pressure
Lisinopril, an ACE inhibitor, may be used alone or in combination with
other antihypertensives in the management of hypertension and
congestive heart failure. A therapeutic effect of the medication is a
decrease in blood pressure.
A clinic nurse is giving instructions to a mother on the proper technique
of applying ophthalmic ointment to her preschool-age child who has
conjunctivitis. Which of the following should the nurse include in the
instructions? Correct Answer-"Discard the first bead of ointment before
each application."
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