ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse administers 2 mg of morphine out of a vial containing 4 mg. Which of the following actions should the nurse take with the remaining medication in the vial?
Correct Answer: D
Rationale: The correct answer is D: Dispose of the medication as waste in an approved receptacle. This is because once a vial has been accessed, it is considered contaminated and should not be stored for future use. Option A is incorrect as storing the medication for the client's next dose is not safe practice due to the risk of contamination. Option B is incorrect as the remaining medication should be disposed of properly, not simply discarded in a sharps container. Option C is incorrect as returning the medication to the pharmacy is not appropriate once it has been accessed. Proper disposal in an approved receptacle ensures safety and prevents potential harm from misuse.
Question 2 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Consult a drug reference guide for possible interactions. This is the best action because drug reference guides provide comprehensive information on potential interactions between medications and food. By consulting a drug reference guide, the nurse can ensure that the client's medication is administered safely and effectively. Checking the client's medical record (
Choice
A) may not always contain the most up-to-date information on interactions. Asking another nurse (
Choice
C) may not guarantee accurate information. Having the client take the medication on an empty stomach (
Choice
D) without proper knowledge of interactions can be harmful.
Question 3 of 5
A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication that can cause respiratory depression as a common adverse effect. This is due to its central nervous system depressant effects, which can lead to a decrease in respiratory drive. Monitoring the client's respiratory rate is crucial to detect any signs of respiratory depression promptly. The other choices are incorrect because propofol does not typically cause a decrease in body temperature, an increase in bowel function, or an increase in heart rate. It is important to prioritize the monitoring of respiratory status when administering propofol to ensure the client's safety.
Question 4 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: C
Rationale: The correct answer is C: Glaucoma. Atropine is contraindicated in clients with glaucoma because it can increase intraocular pressure, worsening the condition. Bronchospasms (
A), diarrhea (
B), and diverticulitis (
D) are not contraindications for atropine administration. Bronchospasms can actually be treated with atropine, and diarrhea and diverticulitis are not directly affected by atropine.
Question 5 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's oxygen saturation. When a client is receiving diazepam for sedation, respiratory depression is a potential adverse reaction. Monitoring oxygen saturation helps assess the client's respiratory status. This is crucial as diazepam can suppress the respiratory drive, leading to hypoxemia. Monitoring for seizure activity (
B) is not directly related to diazepam administration for sedation. Checking urinary output (
C) and auscultating bowel sounds (
D) are not relevant in assessing adverse reactions to diazepam for sedation.