ATI RN
ATI RN Pharmacology Proctored Exam Questions
Question 1 of 5
A nurse is assessing for allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?
Correct Answer: A
Rationale: The correct answer is A: Eggs. The influenza vaccine is typically produced using eggs, so individuals with egg allergies may have an adverse reaction to the vaccine. It is essential for the nurse to report an egg allergy as a possible contraindication to receiving the influenza vaccine to prevent any potential allergic reactions. Other choices such as shellfish, peanuts, and milk are not directly related to the influenza vaccine composition, therefore not considered contraindications for receiving the vaccine.
Question 2 of 5
A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA)
Correct Answer: C,D,E
Rationale:
Correct Answer: C, D, E
Rationale:
C: Shake the device prior to administration helps ensure proper mixing of the medication for effective delivery.
D: A spacer will make it easier to use the device by helping the child inhale the medication more effectively and reducing the risk of side effects.
E: Using a spacer also reduces the likelihood of oral thrush, a common side effect of inhaled corticosteroids.
Incorrect
Choices:
A: Soaking the inhaler in water after use is unnecessary and may damage the device.
B: Taking one inhalation as needed for shortness of breath is not an appropriate dosing instruction for a maintenance medication like fluticasone.
Question 3 of 5
A nurse is caring for a client who has a prescription for total parenteral nutrition (TPN). Which of the following routes of administration should the nurse use?
Correct Answer: C
Rationale: The correct answer is C: Central venous access device. TPN is a hypertonic solution that requires a large vein for administration to prevent vein irritation and thrombosis. Central venous access devices, such as a central line or a PICC line, provide direct access to the central circulation, allowing for the rapid dilution and distribution of TPN. Subcutaneous (choice
A) and midline catheters (choice
D) are not suitable for TPN due to the hypertonic nature of the solution and potential tissue damage. While intravenous (choice
B) may be used, central venous access is preferred for TPN to minimize complications.
Question 4 of 5
A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B. Mixing the medications with a semisolid food for the client with dysphagia helps prevent choking or aspiration. This method makes it easier for the client to swallow the medication safely. Tilt the client's head back (
A) can lead to aspiration. Administering more than one pill at a time (
C) can increase the risk of choking. Placing medications on the back of the tongue (
D) can also trigger the gag reflex and increase the risk of aspiration.
Question 5 of 5
A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round to the nearest tenth.)
Correct Answer: 7.5
Rationale: The correct answer is 7.5 mL.
To calculate this, first, determine the total daily dose (20 mEq/day) divided by 2 to get the dose per administration (10 mEq every 12 hours). Next, divide the dose per administration by the concentration of the elixir (6.7 mEq/5 mL) to get the mL per dose. Thus, 10 mEq ÷ 6.7 mEq/5 mL = 7.5 mL. This ensures the patient receives the correct amount of potassium chloride elixir each dose. The other choices are incorrect because they do not correspond to the calculated amount based on the given information.