ATI PN Pharmacology 2020

Extract:

Question 1 of 5

A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?

A. The nurse asks the client to demonstrate dose delivery.B. The nurse administers a PCA dose for the client.C. The nurse reassures the client that the PCA device will not cause an overdose.D. The nurse monitors the client for oversedation.

Correct Answer: B

Rationale: PCA (Patient-Controlled Analgesia) requires the patient to self-administer doses; the nurse doing it risks overdose and requires intervention. Demonstrating, reassuring, and monitoring are appropriate.

Question 2 of 5

A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion. Which of the following steps should the nurse take first?

A. Hang the antibiotic medication bag above the level of the primary infusion.B. Wipe the connection port of the primary IV tubing with an antiseptic swab.C. Check the IV site for signs of infiltration.D. Connect the tubing of the medication bag to the primary tubing.

Correct Answer: C

Rationale: Checking the IV site for infiltration ensures proper placement before administration, a critical first step. Hanging, wiping, and connecting follow this safety check.

Question 3 of 5

A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?

A. Female clients must have a negative mammogram prior to beginning therapy.B. Clients must have a Papanicolaou test every 6 months during treatment.C. Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy.D. Sexually active female clients must use two forms of birth control during treatment.

Correct Answer: D

Rationale: The iPLEDGE program requires sexually active female clients to use two forms of birth control due to isotretinoin's severe teratogenic effects. Mammograms, Pap tests, and vitamin A supplements are not part of this program's requirements.

Question 4 of 5

A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?

A. The nurse asks the client to demonstrate dose delivery.B. The nurse administers a PCA dose for the client.C. The nurse reassures the client that the PCA device will not cause an overdose.D. The nurse monitors the client for oversedation.

Correct Answer: B

Rationale: PCA (Patient-Controlled Analgesia) requires the patient to self-administer doses; the nurse doing it risks overdose and requires intervention. Demonstrating, reassuring, and monitoring are appropriate.

Question 5 of 5

A nurse is reviewing data for a client who receives clonidine daily. Which of the following findings indicates the nurse should withhold the next dose?

A. Urine output 600 mL in 8 hr.B. Blood pressure 88/50 mm Hg.C. Heart rate 110/min.D. Blood glucose 70 mg/dL.

Correct Answer: B

Rationale: Clonidine lowers blood pressure; a BP of 88/50 mm Hg indicates hypotension, warranting withholding the dose. Normal urine output, slight tachycardia, and low-normal glucose don't contraindicate it.

ATI PN Pharmacology 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN