ATI RN
Principles of Pharmacology Questions
Question 1 of 5
A nurse caring for a child with developmental delay prepares to teach the patient about prescribed drugs. Which actions are essential to ensure patient safety? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Assess the child’s developmental age. It is important to consider the child's developmental age to tailor the teaching approach to their level of understanding and communication abilities. This ensures that the child comprehends the information provided and can follow medication instructions. Assessing for side effects experienced by adults (B) may not be relevant as children may have different reactions. Considering the actions and uses of the drug (C) is important but not specific to ensuring patient safety. Focusing on the child’s chronological age (D) may not account for their developmental delays and specific needs.
Question 2 of 5
The nurse is developing teaching materials for an 82-year-old African American man with macular degeneration, who is being discharged on two new drugs. Which strategies would be best to use to impart the information? (Select all that apply.)
Correct Answer: A
Rationale: Step 1: Limiting distractions in the room is crucial for the elderly with impaired vision to focus on learning. Step 2: Macular degeneration affects visual acuity, making it essential to create an optimal learning environment. Step 3: Removing distractions enhances attention and retention of information. Step 4: Waiting until discharge is not ideal as it may lead to forgetfulness and lack of immediate clarification. Step 5: Augmenting teaching with audio material may not be effective if visual impairment affects hearing as well. Step 6: Using terms of familiarity like "Honey" may be inappropriate and disrespectful.
Question 3 of 5
Which treatments will the nurse anticipate administering to a patient who has been admitted with alcohol toxicity? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Thiamine. Thiamine is essential in treating alcohol toxicity to prevent Wernicke-Korsakoff syndrome. Naloxone (A) is used for opioid overdose, not alcohol toxicity. Intravenous fluids (C) are given to treat dehydration but not specific to alcohol toxicity. Naltrexone (D) is used for alcohol dependence, not acute toxicity. Therefore, Thiamine is the most appropriate choice for treating alcohol toxicity.
Question 4 of 5
The Joint Commission recommends which of the following abbreviations for the “Do Not Use” list?
Correct Answer: A
Rationale: The correct answer is A: qd. The abbreviation "qd" is listed in the Joint Commission's "Do Not Use" list because it can be misinterpreted as "qd" (every day) or "qd" (every other day). This ambiguity can lead to dosing errors. Choice B: NPO is not recommended for the "Do Not Use" list by the Joint Commission. Choice C: Subling is not an abbreviation commonly associated with dosing instructions. Choice D: bid is a standard abbreviation for "twice a day" and is not on the "Do Not Use" list.
Question 5 of 5
The clinic nurse is preparing to administer an intradermal injection. Which needle and gauge are most appropriate for this procedure?
Correct Answer: A
Rationale: The correct answer is A: ¾ to ⅛-inch needle, 25 to 27 gauge. 1. For intradermal injections, a short needle length (¾ to ⅛ inch) is required to deliver the medication into the dermis layer beneath the epidermis. 2. A smaller gauge needle (25 to 27 gauge) is ideal for intradermal injections to minimize tissue damage and ensure accurate delivery into the dermal layer. 3. Choice B is incorrect as a longer needle length is not suitable for intradermal injections and larger gauge needles may cause tissue trauma. 4. Choice C is incorrect as a 20 to 21 gauge needle is too large for intradermal injections and can lead to inaccurate medication placement. 5. Choice D is incorrect as a tuberculin syringe is not typically used for standard intradermal injections due to its larger size and volume capacity.