ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Check the client's glucose level. Metformin is used to treat diabetes, so administering it instead of metoprolol can cause hypoglycemia. Checking the client's glucose level is crucial to monitor for and manage potential hypoglycemia. Monitoring thyroid function levels (
B), collecting uric acid level (
C), and obtaining HDL level (
D) are not directly related to the administration error and are not immediate priorities. The nurse should focus on addressing the potential hypoglycemia first.
Question 2 of 5
A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D. A respiratory rate of 10/min indicates respiratory depression, a common adverse reaction to morphine. Morphine can depress the respiratory center in the brain, leading to shallow breathing or apnea. This can result in hypoxia and potentially life-threatening complications. Blood pressure, temperature, and heart rate within normal ranges do not necessarily indicate adverse reactions to morphine. In summary, monitoring respiratory rate is crucial in detecting adverse reactions to morphine due to its potential for respiratory depression.
Question 3 of 5
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Melena. Melena indicates gastrointestinal bleeding, which can be a serious side effect of warfarin. It requires immediate medical attention to prevent further complications like hemorrhage. Reporting this symptom promptly is crucial for timely intervention.
Choice A (Fever) may indicate an infection, but it is not as critical as bleeding.
Choice B (Abdominal cramping) is a common side effect of warfarin and can usually be managed with adjustments in diet or medication.
Choice C (Hair loss) is not typically associated with warfarin use and is a less urgent concern.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Blurred vision. Carbamazepine is known to cause visual disturbances, including blurred vision, diplopia, and nystagmus. The nurse should instruct the client to monitor for any changes in vision and report them to their healthcare provider. Insomnia (
B) is not a common adverse effect of carbamazepine. Metallic taste (
C) is associated with some medications but not typically with carbamazepine. Tachypnea (
D) refers to rapid breathing and is not a common adverse effect of carbamazepine.
Question 5 of 5
A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Check the client's glucose level. Metformin is used to treat diabetes, so administering it instead of metoprolol can cause hypoglycemia. Checking the client's glucose level is crucial to monitor for and manage potential hypoglycemia. Monitoring thyroid function levels (
B), collecting uric acid level (
C), and obtaining HDL level (
D) are not directly related to the administration error and are not immediate priorities. The nurse should focus on addressing the potential hypoglycemia first.