ATI RN
Quiz Endocrine Reproductive System & Respiratory Drugs Questions
Question 1 of 5
It would be of greatest priority to notify the health care provider if a live vaccine was prescribed for a person in which situation?
Correct Answer: C
Rationale: It would be of greatest priority to notify the health care provider if a live vaccine was prescribed for a patient undergoing chemotherapy. Live vaccines contain weakened forms of the virus or bacteria they are targeting, which can potentially cause an infection in individuals with weakened immune systems, such as those undergoing chemotherapy. Administering a live vaccine to a patient undergoing chemotherapy could lead to serious complications, as the patient's weakened immune system may not be able to handle the live virus or bacteria in the vaccine. Therefore, it is crucial to inform the healthcare provider about the patient's ongoing chemotherapy treatment to avoid any unnecessary risks and ensure the patient's safety.
Question 2 of 5
The nurse working in labor and delivery is reviewing messages to be returned to patients. Which statement made by the patient would the nurse respond to first?
Correct Answer: D
Rationale: The nurse should respond first to the patient who is 8 weeks pregnant and taking folic acid, asking whether it would hurt them or the baby if they stop. This is a crucial question regarding the continuation of folic acid supplementation in early pregnancy, which is vital for the prevention of neural tube defects in the developing fetus. It is important for the nurse to provide accurate information and guidance on the importance of folic acid supplementation during pregnancy.
Question 3 of 5
A patient is to receive 10 mg nalbuphine by slow intravenous push for pain relief during labor. During which phase of uterine contractions would the nurse plan to administer nalbuphine?
Correct Answer: C
Rationale: The nurse should plan to administer the nalbuphine between uterine contractions. This timing allows for optimal pain relief and minimizes the risk of impacting the contraction itself. Nalbuphine can affect the strength and duration of contractions, so administering it between contractions helps to avoid potential interference with the labor progress. This approach ensures that the medication is appropriately timed to provide pain relief without interfering with the natural process of labor.
Question 4 of 5
A patient is to have an emergency cesarean delivery due to late fetal decelerations. Before surgery, the nurse administers an antacid, citric
Correct Answer: C
Rationale: The correct patient response that indicates effective teaching regarding the antacid citric acid/sodium citrate is "The drug will neutralize the contents in my stomach." Citric acid/sodium citrate is commonly used as an antacid to help neutralize excess stomach acid and provide relief from conditions such as indigestion or heartburn. By understanding that the drug helps neutralize stomach contents, the patient shows understanding of its purpose and how it can alleviate symptoms related to excess acidity in the stomach. This response demonstrates that the patient has comprehended the intended therapeutic effect of the antacid medication.
Question 5 of 5
It is mandatory to have maternal signed consent before administering which newborn drug?
Correct Answer: B
Rationale: Maternal signed consent is mandatory before administering phytonadione (Vitamin K) to newborns. This is because Vitamin K is a medication that can prevent bleeding disorders in infants, and some parents may have concerns about the administration of medications to their newborns. It is crucial to ensure that parents are informed about the purpose and potential risks or benefits of Vitamin K administration before it is given to their newborn. Erythromycin eye ointment is typically administered to newborns to prevent eye infections, and parental consent may be needed but it is not mandatory in the same way as Vitamin K.