ATI RN
ATI Pharmacology Study Guide Questions
Question 1 of 5
Some institutions will not infuse a fat emulsion, such as Intralipid, into central venous access devices
Correct Answer: B
Rationale: Some institutions will not infuse a fat emulsion, such as Intralipid, into central venous access devices because lipid residue may accumulate in the CVAD and occlude the catheter. This can lead to complications such as catheter blockage, which may require removal and replacement of the catheter. The build-up of lipids in the catheter can interfere with proper medication delivery and potentially result in infection or other issues. Therefore, to prevent these complications, some institutions choose to avoid infusing fat emulsions through central venous access devices.
Question 2 of 5
Which of the following is a first-line medication for generalized tonic-clonic seizures?
Correct Answer: D
Rationale: Topiramate, a broad-spectrum antiepileptic, treats generalized tonic-clonic seizures by blocking sodium channels, enhancing GABA, and inhibiting glutamate, making it a first-line option per guidelines. Ethosuximide targets absence seizures. Felbamate, vigabatrin, and ezogabine have narrower uses or toxicity risks (e.g., aplastic anemia, vision loss), limiting them to refractory cases. Topiramate's efficacy, tolerability, and broad action suit primary generalized seizures, distinguishing it as a standard choice.
Question 3 of 5
A client is prescribed an intranasal corticosteroid. What should the nurse include in client education about this drug?
Correct Answer: D
Rationale: Intranasal corticosteroids (e.g., fluticasone) can cause burning and nosebleeds due to mucosal drying . They're preventive, not symptom-driven (choice B is wrong), and dosing is fixed, not squeeze-dependent . Choice D educates on a common, manageable side effect, ensuring client awareness and compliance.
Question 4 of 5
A patient is receiving fluid replacement. The nurse's health teaching with this patient includes which suggestions? (Select all that apply.)
Correct Answer: A
Rationale: Monitoring weight daily (A) helps assess fluid balance, as sudden changes may indicate fluid retention or loss. Thirst (B) is an early sign of mild dehydration. Monitoring intake and output (C) is essential to evaluate fluid status. Avoiding calcium and chloride supplements (D) is not relevant to fluid replacement. Reviewing electrolyte labs (E) is important but not part of routine health teaching for fluid replacement.
Question 5 of 5
A client calls the nurse help-line and says, 'My friend and I have been swimming and drinking beer all day and he took a couple of swigs of Robitussin DM (dextromethorphan) about 15 minutes ago. Now he is acting funny and seeing things.' What should the nurse consider when formulating a response?
Correct Answer: D
Rationale: Dextromethorphan with alcohol causes dizziness and hallucinations , guiding the nurse to advise medical help. Dialysis , opioid status , and addiction are incorrect. D informs the response, making it key.