ATI PHARMACOLOGY PROCTORED 2024 MAIN EXAMS VERSION A, B AND C REAL EXAM COMPLETE EXAM 210 QUESTIONS AND CORRECT ANSWERS|AGRADE

1. A nurse is teaching a client who has a history of acute myocardial infarction about taking metoprolol to treat angina. Which of the following instructions should the nurse include? Page 158 a. Stop taking the medication if you become dizzy (NEVER discontinue abruptly) b. Check your pulse rate daily (Bradycardia, withhold if pulse under 50) c. Expect to see an increase in your urinary output d. Call you provider if you lose more than 1 pound per week (complication of decreased CO - weight gain - call provider) metropolol (Lopressor) - Beta Blockers. Beta1 - affects only the heart. Decreases HR - decreases myocardial contractility 2. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client’s respiratory status and stopping the medication infusion, which of the following actions should the nurse take next? A. Elevate the client’s legs and feet (Raises BP & pulse, maybe just supplementary though) B. Administer epinephrine IM (Only thing that’ll stop the reaction immed, first line treatment) C. Replace the solution with with 0.9 % sodium chloride D. Give diphenhydramine IM Rationale: If manifestations occur, stop transfusion (ATI’s specific to BLOOD TRANSFUSION, but wouldn’t you still give epi?), notify provider, and then keep IV line open with NS (in this case, replace the bag with NS?) Then, Have epi ready for IM or IV injection. Or do you elevate the legs? LOL 3. A nurse is assessing a client who is receiving OXYTOCIN via continuous IV infusion for labor augmentation. The nurse notes six contractions in a 10 minute period with a nonreassuring FHR. Which of the following actions should the nurse take first ? a. Administer Terbutaline 0.25 mg subcutaneously b. Discontinue the oxycontin IV infusion (INC flow to fetus, control contractions, but not priority) d. Apply oxygen at 10 L / min via face mask Rationale: Idk. I hate maternity. Someone else rationalize this shit. Looking through Padgham’s OB notes, reposition goes first apparently. And then I have a note on the bottom, per TB, O2 first. 4. A nurse is administer lactated ringer's solution at 100ml/hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many drops per minute? Round the answer to the nearest whole number? mL / min x gtts 100 x 15/60 = 25 gtt/min 5. A client who has active Tuberculosis and is taking rifampin reports that this urine and sweat have developed a red orange tinge. Which of the following actions should the nurse take ? page 376 a. Prepare the client for dialysis b. Instruct the client to increase the fluid intake c. Check the the clients liver function tests results d. Document this as an expected