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 caring for a client who has a new prescription for mirtazapine. Which of the following medications should the nurse identify as a contraindication to the client's new prescription?
Correct Answer: C
Rationale: The correct answer is C: Linezolid. Linezolid is a monoamine oxidase inhibitor (MAOI), and concurrent use with mirtazapine, which is a serotonin modulator, can lead to serotonin syndrome due to excessive serotonin accumulation. Hydroxyzine (
A) is an antihistamine, Clozapine (
B) is an antipsychotic, and Nortriptyline (
D) is a tricyclic antidepressant, none of which are contraindicated with mirtazapine.
Question 3 of 5
A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: Decreased wheezing. Theophylline is a bronchodilator used to treat respiratory conditions like asthma by relaxing the muscles in the airways, reducing wheezing. A decrease in wheezing indicates improved airway patency, making it an effective response to the medication. Increased level of consciousness (
A) and increased blood pressure (
C) are not directly related to theophylline's mechanism of action. Decreased urine output (
D) is not a typical indicator of theophylline effectiveness.
Question 4 of 5
A nurse is educating a client who has a new prescription for digoxin. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Check your heart rate 1 hour after taking the medication. This statement is important as digoxin can affect heart rate, and monitoring it helps assess for potential toxicity. Option A is incorrect because taking a missed dose could lead to overdose. Option B is unrelated to digoxin therapy. Option D is incorrect as visual changes are not an expected side effect of digoxin. It is crucial for nurses to prioritize patient safety by providing accurate and relevant information.
Question 5 of 5
A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Wear gloves when handling the medication. This is essential to prevent direct contact with the hazardous IV medication, reducing the risk of exposure and contamination. Administering the medication in a negative pressure room (
A) is unnecessary for routine administration and may not be feasible in all settings. Protective footwear (
B) is not directly related to handling IV medication. Wearing an N95 respiratory mask (
D) is not necessary unless the medication produces airborne particles.