ATI RN
ATI RN Pharmacology 2023 retake 1 Questions
Question 1 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Return expired medication to the pharmacist. This is the safest and most environmentally friendly method of medication disposal. Pharmacies have proper protocols for disposing of medications, ensuring they do not end up in the wrong hands or harm the environment.
Choice A is incorrect as it can lead to accidental ingestion.
Choice C is not recommended as it can contaminate water sources.
Choice D is incorrect as it can pollute waterways. It is important to educate clients on proper medication disposal to prevent harm to themselves and the environment.
Question 2 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Grasping the skin between the thumb and forefinger creates tension, which helps prevent bleeding by stabilizing the tissue during the injection. This technique minimizes the risk of inadvertently nicking a blood vessel, reducing the likelihood of bleeding at the injection site. It also ensures accurate delivery of the medication into the subcutaneous tissue.
Incorrect
Choices:
B: Aspirating the syringe is not necessary for subcutaneous injections as it is done for intramuscular injections to check for blood return.
C: The Z-track method is used for intramuscular injections to prevent medication leakage, not for subcutaneous injections.
D: Massaging the site can increase the risk of bleeding and should be avoided following a subcutaneous injection.
Question 3 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. In septic shock, patients often experience severe hypotension due to systemic vasodilation. Dopamine, a vasopressor, is used to increase blood pressure by constricting blood vessels.
Therefore, if the patient's blood pressure remains low despite receiving dopamine, it indicates that the current infusion rate is not sufficient. Extravasation (
A) is a potential complication of IV therapy but does not directly indicate the need to increase the infusion rate. Headache (
C) and chest pain (
D) are common symptoms in septic shock but are not specific indicators for adjusting dopamine infusion rate.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Your urine will turn orange while you are taking this medication. Rifampin is known to cause orange discoloration of bodily fluids, including urine, sweat, and tears. This is a harmless side effect and should be expected.
Choice A is incorrect because rifampin can reduce the effectiveness of oral contraceptives.
Choice B is incorrect as wearing soft contact lenses can lead to discoloration.
Choice C is incorrect as rifampin is usually taken once daily in the morning.
Question 5 of 5
A nurse is caring for a client whose current bag of total parenteral nutrition (TPN) has finished infusing, and the next bag is not yet available. Which of the following fluids should the nurse prepare to administer?
Correct Answer: B
Rationale: The correct answer is B: Dextrose 10% in water. When a TPN bag finishes infusing and the next bag is unavailable, the nurse should administer a dextrose solution to prevent hypoglycemia. Dextrose provides a quick source of energy for the client. Lactated Ringer's (
A) is not appropriate as it does not contain any glucose for energy. 0.45% sodium chloride (
C) and 0.9% sodium chloride (
D) are isotonic solutions and do not provide the necessary glucose.