ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Check the client's glucose level. Metformin is a medication used to treat diabetes, so administering it instead of metoprolol could lead to hypoglycemia. Checking the client's glucose level will help determine if the client is experiencing low blood sugar levels due to the medication error. Monitoring thyroid function (
A), collecting uric acid levels (
B), and obtaining HDL levels (
C) are not relevant in this situation and would not address the immediate concern of potential hypoglycemia.
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 with high abuse potential. The nurse should follow proper medication disposal protocols to prevent diversion or misuse. Returning the medication to the pharmacy (choice
A) may not ensure proper disposal. Storing the remaining half of the pill in the automated medication dispensing system (choice
B) or placing it in the unit dose package (choice
C) could lead to unauthorized access. Disposing of the medication while another nurse observes (choice
D) ensures accountability and adherence to safety measures.
Question 3 of 5
A nurse is caring for a 4-year-old child following an orthopedic procedure. When assessing the child for pain, which of the following pain scales should the nurse use?
Correct Answer: A
Rationale: The correct answer is A: FACES. This is because the FACES pain scale is specifically designed for children aged 3 and older, making it appropriate for a 4-year-old. The scale uses facial expressions to help the child express their level of pain, which is easier for young children to understand and communicate. The other options are not suitable for a 4-year-old child: Numeric scales may be too abstract, CRIES scale is used for infants, and Word Graphic scale may be too complex for a young child to comprehend. Using the FACES pain scale will allow the nurse to accurately assess and manage the child's pain effectively.
Question 4 of 5
A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer?
Correct Answer: C
Rationale: The correct answer is C: Colesevelam (Welchol). This medication is a bile acid sequestrant commonly used to treat high cholesterol by binding to bile acids in the intestine, preventing their reabsorption, thus lowering LDL cholesterol levels. Colchicine (
A) is used to treat gout, Cimetidine (
B) for ulcers, and Chlorpromazine (
D) for psychotic disorders. These medications are not indicated for high cholesterol.
Question 5 of 5
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C: The client reports difficulty hearing. Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing loss. The nurse should notify the provider immediately to prevent further damage. A: Potassium level is within normal range. B: Dizziness upon standing can be expected due to volume loss. D: BUN level is normal and not a priority.