ATI RN
ATI RN Pharmacology 2019 I Questions
Question 1 of 5
A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?
Correct Answer: B
Rationale: The correct answer is B: History of alcohol use disorder. Acetaminophen can exacerbate liver damage in individuals with alcohol use disorder due to the drug's metabolism in the liver.
Therefore, notifying the provider is crucial to assess the client's liver function and adjust the medication regimen if necessary.
Incorrect choices:
A: Hypothyroidism does not directly impact acetaminophen administration.
C: Recurrent headaches do not pose a contraindication to acetaminophen use.
D: BP 92/60 mm Hg is low but not a direct contraindication to acetaminophen unless the provider deems it clinically significant.
Question 2 of 5
A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?
Correct Answer: D
Rationale: The correct answer is D: Calcium gluconate. In hypermagnesemia, there is an elevated level of magnesium in the blood, leading to muscle weakness, respiratory depression, and cardiac arrest. Calcium gluconate is the antidote as it competes with magnesium for binding sites, helping to counteract the effects of hypermagnesemia. Protamine sulfate (
A) is used for heparin overdose, not hypermagnesemia. Flumazenil (
B) is used for benzodiazepine overdose. Acetylcysteine (
C) is used for acetaminophen overdose.
Question 3 of 5
A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?
Correct Answer: C
Rationale:
Rationale: Nitroglycerin is contraindicated with sildenafil due to the risk of severe hypotension. Both medications can cause vasodilation leading to a dangerous drop in blood pressure. Albuterol, Indomethacin, and Furosemide do not have significant interactions with sildenafil. Summary: Albuterol, Indomethacin, and Furosemide are not contraindications for sildenafil, while Nitroglycerin poses a risk of severe hypotension when used concomitantly.
Question 4 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: B
Rationale: The correct answer is B: Compare the current and newly prescribed medications and note any discrepancies. This is crucial for ensuring the client's safety and continuity of care. By comparing the medications, the nurse can identify any potential errors, omissions, or duplications in the medication regimen, preventing adverse drug events. Reviewing adverse effects (
Choice
A) is important but not as immediate as ensuring accurate medication reconciliation. Sending a list to the pharmacy (
Choice
C) is helpful but doesn't directly address medication reconciliation. Including surgery medications (
Choice
D) is relevant but doesn't focus on the transfer to the rehabilitation facility.
Question 5 of 5
A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?
Correct Answer: C
Rationale: The correct answer is C: The nurse who identifies the error. This nurse is responsible for completing an incident report as they are the ones who discovered the medication error. Reporting errors promptly is crucial for patient safety and quality improvement. The charge nurse may oversee the process but is not directly responsible for completing the report. The quality improvement committee reviews incident reports but does not complete them. The nurse who caused the error may be involved in the investigation but should not be the one to document the error to maintain objectivity.