ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: You should take a stool softener while taking this medication. Oxycodone is an opioid analgesic that can cause constipation as a side effect. Taking a stool softener can help prevent or alleviate constipation.
Choice A is incorrect because oxycodone does not typically cause increased urination.
Choice B is incorrect because oxycodone should be taken with food to minimize gastrointestinal side effects.
Choice D is incorrect because there is no need to minimize sunlight exposure specifically with oxycodone.
Question 2 of 5
A nurse is teaching a client who has a depressive disorder about amitriptyline. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "This medication can cause an increase in appetite." Amitriptyline is a tricyclic antidepressant known to cause weight gain and increased appetite as side effects, leading to potential weight gain. This information is important for the client to be aware of to monitor for changes in their eating habits. Hair loss (
A), diarrhea (
C), and urinary frequency (
D) are not common side effects of amitriptyline, making them incorrect choices.
Question 3 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate. Before administering propranolol, a beta-blocker, the nurse should assess the client's heart rate because this medication works by slowing down the heart rate and reducing blood pressure. Monitoring the heart rate helps ensure the medication is given safely and effectively. Assessing pain level (
A) is important but not directly related to propranolol administration. Temperature (
B) is not typically a crucial assessment before giving propranolol. Respiratory rate (
D) is also important but not the priority when administering this medication.
Question 4 of 5
A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, 'I forgot to tell the doctor I take albuterol for asthma.' For which of the following medications should the nurse withhold the dose and notify the provider?
Correct Answer: D
Rationale: The correct answer is D: Propranolol. Albuterol is a beta-2 agonist used for asthma, which can interact with beta-blockers like propranolol, potentially causing severe bronchospasm and respiratory distress. The nurse should withhold the dose and notify the provider to avoid this dangerous interaction. Isosorbide mononitrate (
A) is a nitrate used for angina, not contraindicated with albuterol. Pantoprazole (
B) is a proton pump inhibitor for acid reflux, unrelated to albuterol. Montelukast (
C) is a leukotriene receptor antagonist for asthma, not contraindicated with albuterol.
Question 5 of 5
A nurse is preparing to administer dextrose 5% in water 350 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: A
Rationale: The correct answer is A: 19 gtt/min.
To calculate the drip rate, use the formula: mL/hr = gtt/min × drop factor. First, convert 3 hours to minutes (3 hr × 60 min/hr = 180 min).
Then, calculate the mL/min infusion rate (350 mL ÷ 180 min = 1.944 mL/min). Now, use the drop factor of 10 gtt/mL to find the gtt/min (1.944 mL/min × 10 gtt/mL = 19.44 gtt/min). Since you can only administer whole drops, round down to the nearest whole number, giving you 19 gtt/min. Other choices are incorrect as they do not result from the correct calculations.