ATI RN
ATI RN Pharmacology Exam Questions
Question 1 of 5
Which of the following are the five main rights of medication administration?(Select all that apply.)
Correct Answer: A,C,D,E,F
Rationale: The correct answer includes rights A, C, D, E, and F. These are essential in medication administration for patient safety. Right route ensures medication is administered correctly. Right dose prevents under/overdosing. Right person ensures medication is given to the correct individual. Right documentation is vital for tracking and monitoring. Right medication guarantees the correct drug is administered.
Choices B and G are incorrect as they are not among the main rights of medication administration.
Question 2 of 5
A nurse is caring for a client with asthma who is prescribed metoprolol. The nurse should monitor the client for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Wheezing. Metoprolol is a beta-blocker that can potentially exacerbate asthma by causing bronchoconstriction.
Therefore, monitoring for wheezing is crucial as it indicates a potential adverse reaction. Increased respiratory rate (
A) would not be expected with metoprolol. Bronchodilation (
B) is the opposite effect of what metoprolol can cause. Decreased sputum production (
C) is not a common monitoring parameter for metoprolol in asthma.
Question 3 of 5
A nurse prepares to replace the nearly empty container of total parenteral nutrition (TPN) for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy. Which of the following solutions should the nurse infuse until the next container of TPN solution becomes available?
Correct Answer: B
Rationale: The correct answer is B: Dextrose 10% in water. When there is a delay in receiving TPN, the nurse should provide a temporary solution that can help maintain the client's caloric needs and prevent hypoglycemia. Dextrose 10% in water can provide some calories and fluid support until the TPN solution becomes available.
A: 3% sodium chloride is a hypertonic solution that can lead to fluid shifts and electrolyte imbalances if infused continuously. It is not suitable for providing nutrition.
C: Lactated Ringer's is a balanced crystalloid solution used for fluid resuscitation and replacement, not for providing nutrition.
D: 0.9% sodium chloride is a normal saline solution that does not provide any nutritional support and is used mainly for fluid resuscitation and maintenance.
Question 4 of 5
The nurse is monitoring a client taking a potassium sparing diuretic. Which of the following findings would prompt the nurse to notify the health care provider?
Correct Answer: C
Rationale: The correct answer is C: Serum potassium level of 5.5 mEq/L. With a potassium-sparing diuretic, the medication works by promoting the retention of potassium, leading to the possibility of hyperkalemia (high potassium levels). A serum potassium level of 5.5 mEq/L is above the normal range (3.5-5.0 mEq/L) and can indicate potential toxicity. Hyperkalemia can cause serious cardiac arrhythmias and must be promptly addressed by notifying the healthcare provider for further evaluation and management.
Choices A and B are within normal limits and do not directly relate to the effects of a potassium-sparing diuretic.
Choice D is below the normal range and would not typically prompt immediate notification unless symptomatic.
Question 5 of 5
A patient who has been taking opioids for several weeks tells the nurse, 'The medication doesn't seem to work as well anymore.' The nurse recognizes this as a sign of:
Correct Answer: D
Rationale: The correct answer is D:
Tolerance.
Tolerance occurs when the body adapts to the effects of a medication, requiring higher doses to achieve the same results. In this scenario, the patient's statement indicates a decreased response to opioids over time, which aligns with the concept of tolerance. Allergy (
A) involves an immune response to a medication, which would present differently. Addiction (
B) is characterized by compulsive drug-seeking behavior, not diminished effectiveness. Withdrawal (
C) refers to the physical and psychological symptoms that occur when a substance is stopped suddenly, not a decreased response to the medication.