ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse accidentally administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D (Check the client's glucose level)
Rationale: Metformin is a medication used to treat diabetes, so it is essential to check the client's glucose level after the accidental administration to monitor for hypoglycemia or hyperglycemia. This action is crucial for the client's safety and to initiate appropriate interventions promptly. Monitoring thyroid function levels (
Choice
A), uric acid level (
Choice
B), or HDL level (
Choice
C) would not directly address the immediate concern of potential glucose level abnormalities resulting from the administration error.
Therefore, checking the client's glucose level is the most appropriate action in this scenario.
Question 2 of 5
A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wear gloves when handling the medication. This is crucial to prevent direct contact with the hazardous IV medication, reducing the risk of exposure. Protective footwear (
A) is not necessary for IV administration. An N95 mask (
B) is used for respiratory protection, which is not required for handling IV medications. Administering in a negative pressure room (
C) is more relevant for airborne precautions, not for handling IV medications.
Question 3 of 5
A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the ondansetron is effective?
Correct Answer: D
Rationale: The correct answer is D: Decreased nausea. Ondansetron is an antiemetic medication used to treat nausea and vomiting.
Therefore, a decrease in nausea indicates the effectiveness of ondansetron. Absence of peripheral neuropathy (
A) is not directly related to the action of ondansetron. Increased urinary output (
B) is not a common effect of ondansetron. Reduced dizziness (
C) may not necessarily indicate the effectiveness of ondansetron specifically for nausea.
Therefore, the best indicator of ondansetron's effectiveness in this scenario is a decrease in nausea.
Question 4 of 5
A nurse is caring for a client who is taking rifampin. Which of the following findings should the nurse monitor for as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Jaundice. Rifampin is known to cause hepatotoxicity, which can present as jaundice due to liver dysfunction. The nurse should monitor for signs of liver damage such as yellowing of the skin and eyes. Blurred vision (
A) is not a common adverse effect of rifampin. Irregular heart rate (
C) is also not associated with rifampin use. Constipation (
D) is not a typical adverse effect of rifampin. Monitoring for jaundice is crucial in clients taking rifampin to detect liver damage early.
Question 5 of 5
A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?
Correct Answer: D
Rationale: The correct answer is D: Sildenafil. Nitroglycerin and sildenafil both lower blood pressure. When taken together, they can cause a significant drop in blood pressure leading to hypotension, dizziness, and fainting. It is essential to avoid combining drugs that have similar effects on blood pressure to prevent adverse reactions. Gemfibrozil, lansoprazole, and diazepam do not have significant interactions with nitroglycerin.