ATI RN
RN ATI Pharmacology 2019 Exam Questions
Question 1 of 5
A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter?
Correct Answer: D
Rationale: The correct answer is D, the nondominant forearm basilic vein. This site is preferred for peripheral IV catheter placement because it is less prone to complications and more comfortable for the client. The antecubital veins (choice
A) are avoided due to the risk of nerve damage. The dorsal venous arch (choice
B) is not ideal as it can be difficult to secure the catheter in place. The dominant distal dorsal vein (choice
C) may cause discomfort during movement.
Therefore, the nondominant forearm basilic vein is the best choice for peripheral IV catheter insertion.
Question 2 of 5
A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following findings should the nurse identify as an indication of medication toxicity?
Correct Answer: A
Rationale: The correct answer is A: Visual disturbances. Digoxin toxicity commonly presents with visual disturbances such as blurred vision, yellow or green halos, or seeing spots. These symptoms result from digoxin's effects on the central nervous system and can be a sign of toxicity. Potassium levels within the normal range (choice
B) are not indicative of digoxin toxicity. Insomnia (choice
C) and sudden weight gain (choice
D) are nonspecific findings and not typically associated with digoxin toxicity.
Question 3 of 5
A nurse is transcribing a new prescription for a client which states, 'Diphenhydramine 50 mg NOW.' Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Contact the provider to clarify the prescription. The nurse should verify the medication dosage and timing to ensure patient safety. Communicating with the provider will help clarify if the prescription is for immediate administration or for a specific time.
Choice A is incorrect because it assumes the client knows how to interpret the prescription.
Choice B is incorrect as sending the medication without clarification can lead to errors.
Choice C is incorrect as the nurse must confirm the timing specified in the prescription.
Question 4 of 5
A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. An allergic reaction to ceftriaxone can manifest as hypotension due to the release of histamine causing vasodilation. Bradycardia (
A) is not a typical manifestation of an allergic reaction. Polyuria (
C) is excessive urination and is not related to an allergic reaction. Nausea (
D) is a common side effect of many medications but not specific to an allergic reaction.
Question 5 of 5
A nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6. Which of the following medications should the nurse plan to teach the client about first?
Correct Answer: D
Rationale: The correct answer is D: Metformin. Metformin is the first-line medication for treating type 2 diabetes and metabolic syndrome due to its effectiveness in reducing insulin resistance and improving glucose control. It is usually recommended as the initial pharmacological therapy in such cases. Insulin glargine (
A) and regular insulin (
B) are typically used when oral medications are ineffective in controlling blood sugar levels. Exenatide (
C) is a medication used in type 2 diabetes but is usually considered after metformin.
Therefore, in this scenario, the nurse should first teach the client about metformin as it is the most appropriate initial treatment option based on guidelines and efficacy.