ATI RN
ATI RN Pharmacology 2019 Exam 6 Questions
Question 1 of 5
A nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film. Which of the following methods should the nurse use to administer this medication?
Correct Answer: C
Rationale: The correct answer is C: Insert the medication against the mucous membrane of the cheek. This method is appropriate for administering fentanyl buccal film because it is designed to be absorbed through the mucous membranes in the mouth, providing rapid onset of pain relief. Placing the film against the cheek allows for direct absorption into the bloodstream. Dissolving the medication in water (choice
A) would alter its intended route of administration and potentially reduce its effectiveness. Instructing the client to swallow the medication (choice
B) would also change the intended absorption site and delay onset of action. Placing the medication on the tongue for dissolution (choice
D) would not ensure proper absorption through the buccal mucosa.
Therefore, choice C is the correct method for administering fentanyl buccal film in a hospice care setting.
Question 2 of 5
A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Compare the current and newly prescribed medications and note any discrepancies. This is crucial for ensuring the client's safety during the transition to the rehabilitation facility. By comparing the medications, the nurse can identify any potential errors or omissions in the prescribed regimen, preventing adverse drug interactions or duplications. This step helps in maintaining medication accuracy and preventing medication-related issues.
Choice A is incorrect because including medications from surgery can be misleading and irrelevant to the current medication regimen.
Choice B is incorrect as it does not directly address the verification of medications.
Choice C is important but not the primary focus during medication reconciliation. It is crucial to educate the client, but the main task is to ensure medication accuracy.
Question 3 of 5
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine. The nurse should report which of the following laboratory values to the provider?
Correct Answer: C
Rationale: The correct answer is C: Creatinine 2.5 mg/dL. In a client taking cyclosporine, monitoring creatinine levels is crucial as cyclosporine can cause nephrotoxicity. An elevated creatinine level indicates impaired kidney function, which can be a serious side effect of cyclosporine.
Choice A (Sodium 139 mEq/L) is within normal range and not typically affected by cyclosporine.
Choice B (BUN 18 mg/dL) measures kidney function but is not as sensitive as creatinine for detecting nephrotoxicity.
Choice D (Potassium 4.2 mEq/L) is also within normal range and not directly related to cyclosporine use.
Therefore, the nurse should report the elevated creatinine level to the provider for further evaluation and management.
Question 4 of 5
A nurse is initiating IV therapy for client who had a right-sided mastectomy. In which of the following locations should the nurse place a catheter?
Correct Answer: D
Rationale: The correct answer is D: Left arm. Placing the catheter in the left arm of a client who has had a right-sided mastectomy is preferred to minimize the risk of lymphedema development on the affected side. Lymphedema is a common complication after mastectomy and can be exacerbated by trauma or inflammation, such as from IV therapy. Placing the catheter in the left arm helps protect the compromised lymphatic system on the right side.
The other choices are incorrect because:
A: Wrist - Placing the catheter in the wrist can increase the risk of phlebitis and discomfort for the client.
B: Most proximal site - This is vague and does not provide specific guidance on the optimal placement for a client with a right-sided mastectomy.
C: Cordlike vein - Choosing a cordlike vein can indicate thrombosis or inflammation, which are contraindications for IV therapy.
Question 5 of 5
A nurse is assessing a client who is receiving penicillin IV. For which of the following findings should the nurse report to the provider as a manifestation of anaphylaxis?
Correct Answer: C
Rationale: The correct answer is C: Wheezing. Anaphylaxis is a severe allergic reaction that can occur with penicillin IV. Wheezing is a common manifestation of anaphylaxis due to bronchoconstriction, leading to difficulty breathing. Reporting wheezing promptly is crucial as it indicates a potentially life-threatening situation that requires immediate intervention such as administering epinephrine. Increased blood pressure (
A) is not typically associated with anaphylaxis; hypotension is more common. Hypertonia (
B) and urinary retention (
D) are not typical signs of anaphylaxis and are not directly related to the respiratory distress seen in anaphylaxis.