ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Return expired medication to the pharmacist. This is the safest and most environmentally friendly method of medication disposal. Pharmacies have proper protocols for disposing of medications to prevent harm to individuals and the environment. Pouring medication into a wastebasket (
B) can result in accidental ingestion by children or pets. Flushing medication down the toilet (
C) can contaminate water sources. Crushing medication and rinsing them down the sink (
D) can also contaminate water and harm aquatic life.
Question 2 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Dispose of the remaining medication while another nurse observes. This is the appropriate action because hydromorphone is a controlled substance, and any remaining portion of the tablet should be properly disposed of to prevent diversion or misuse. Having another nurse observe the disposal ensures accountability and adherence to proper protocols.
Choices A, B, and C are incorrect because storing or returning the remaining medication can lead to potential misuse or unauthorized access. The safest practice is to dispose of the remaining medication properly to eliminate any risk of diversion.
Choice E, F, and G are not applicable as they are not part of the question scenario.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Your urine will turn orange while you are taking this medication. Rifampin is known to cause harmless discoloration of bodily fluids, including urine, sweat, and tears, turning them orange-red. This is important for the client to be aware of to prevent unnecessary concern or alarm.
Incorrect choices:
A: This medication can interfere with the effectiveness of oral contraceptives, reducing their efficacy.
B: Rifampin is usually taken once daily in the morning on an empty stomach.
C: Rifampin can stain soft contact lenses, so it is recommended to switch to glasses while taking this medication.
Question 4 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?
Correct Answer: D
Rationale: The correct answer is D: Calcium. Levothyroxine absorption can be decreased by calcium when taken together. Calcium can bind to levothyroxine in the gastrointestinal tract, reducing its absorption. Waiting 4 hours after taking levothyroxine before consuming calcium ensures optimal absorption of levothyroxine. Ginkgo biloba, zinc, and vitamin C do not interfere significantly with levothyroxine absorption, making choices A, B, and C incorrect in this scenario.
Question 5 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: D
Rationale: The correct answer is D, Blood pressure. When titrating nitroprusside, the nurse should monitor blood pressure closely as it directly reflects the vasodilatory effects of the medication. By adjusting the infusion rate based on blood pressure readings, the nurse can maintain the desired therapeutic effect while minimizing the risk of hypotension or hypertension. Monitoring urine output (
A), cardiac output (
B), and stroke volume (
C) may provide valuable information but are not as direct indicators of the medication's effect as blood pressure.
Therefore, they are not the primary assessments to guide titration.