ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 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: B
Rationale: The correct answer is B: Dispose of the remaining medication while another nurse observes. This is the appropriate action because hydromorphone is a controlled substance, and it is crucial to follow proper disposal protocols to prevent misuse or diversion. By disposing of the remaining medication while another nurse observes, it ensures accountability and adherence to safety guidelines.
Choice A is incorrect because returning the medication to the pharmacy could lead to potential errors or misuse.
Choice C is incorrect as storing half a pill in the automated system could violate medication storage regulations.
Choice D is incorrect because placing a partial pill in a unit-dose package may not be allowed and could lead to dosing errors.
Question 2 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure. When titrating a nitroprusside infusion, monitoring blood pressure is crucial as nitroprusside is a potent vasodilator that can cause significant hypotension. The goal is to maintain a specific blood pressure range to ensure adequate perfusion to vital organs without causing hypotension or hypertension. Monitoring urine output (
A), stroke volume (
B), and cardiac output (
D) may provide valuable information, but blood pressure is the most direct indicator of the drug's effect on the cardiovascular system. It is essential to titrate the infusion based on blood pressure changes to prevent adverse effects and ensure optimal patient outcomes.
Question 3 of 5
A nurse is caring for a client who is taking interferon. Which of the following findings indicates the client is experiencing an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Fever. Interferon can cause flu-like symptoms, including fever, as an adverse effect. This is due to its immunomodulatory properties. Tinnitus (
A) is not a common adverse effect of interferon. Paresthesia (
C) refers to abnormal sensations like tingling, which are not typically associated with interferon. Oliguria (
D) is a decrease in urine output and is not a common adverse effect of interferon. In summary, fever is the most likely adverse effect of interferon, while the other options are less likely to be directly related to this medication.
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: B
Rationale: The correct answer is B: Glaucoma. Atropine is contraindicated in clients with glaucoma due to its potential to increase intraocular pressure, worsening the condition. Bronchospasms (
A), diverticulitis (
C), and diarrhea (
D) are not contraindications for atropine administration. Bronchospasms can actually be treated with atropine, while diverticulitis and diarrhea are not directly affected by atropine administration. It is crucial to consider contraindications to ensure safe and effective medication administration.
Question 5 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: D
Rationale: The correct answer is D. An incident report is needed when there is a deviation from the standard of care that could potentially harm the client. Administering insulin 1 hour before scheduled can lead to hypoglycemia, which is a serious risk.
Choice A is not ideal but does not pose immediate harm.
Choice B is a common side effect of medications.
Choice C, while serious, may be a known condition of the client.