ATI RN
ATI RN Pharmacology 2023 II 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 appropriate to ensure proper disposal of the unused portion of the medication to prevent diversion or misuse. By disposing of the remaining medication with another nurse observing, it ensures accountability and adherence to medication safety protocols.
Choice A is incorrect because returning the medication to the facility's pharmacy can lead to confusion and potentially unsafe practices.
Choice C is incorrect as storing the remaining half of the pill in the automated medication dispensing system can lead to errors in medication administration.
Choice D is incorrect as placing the remaining half of the pill in the unit-dose package can also result in medication errors. It is essential to follow proper disposal procedures to maintain patient safety and prevent medication errors.
Question 2 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: B
Rationale: The correct answer is B: Furosemide and amikacin. Furosemide is a loop diuretic known to cause ototoxicity (hearing loss) and when combined with amikacin, an aminoglycoside antibiotic also known to cause ototoxicity, the risk of hearing loss is increased. Digoxin (
A) is associated with visual disturbances, not hearing loss. Losartan and atorvastatin (
C) are not known to cause hearing loss. Propranolol and raloxifene (
D) do not have ototoxic effects.
Question 3 of 5
A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Exercise caution when changing positions. This is important to include in the teaching because captopril, an ACE inhibitor, can cause orthostatic hypotension, leading to dizziness or lightheadedness when changing positions. This caution helps prevent falls and other related complications.
Other choices are incorrect:
B: Increasing sodium intake is not recommended as it can exacerbate hypertension, which captopril is prescribed to treat.
C: Taking a daily potassium supplement is not necessary unless specifically prescribed by the healthcare provider, as captopril can already affect potassium levels.
D: Monitoring pulse rate is not directly related to captopril use; blood pressure monitoring is more relevant for this medication.
Question 4 of 5
A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "I will discuss other treatment options with your provider." This answer is appropriate because it shows the nurse's willingness to address the client's fear of needles and explore alternative treatments. It demonstrates patient-centered care and promotes open communication. Option A may minimize the client's fear but doesn't address the underlying issue. Option C is coercive and does not respect the client's autonomy. Option D uses fear tactics and is not therapeutic.
Question 5 of 5
A nurse is caring for a client who develops an anaphylactic reaction to antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: The correct answer is C: Administer epinephrine IM. Epinephrine is the first-line treatment for anaphylactic reactions as it helps to reverse the symptoms rapidly by constricting blood vessels and relaxing airway muscles. It is crucial in preventing further complications such as severe respiratory distress and cardiovascular collapse. Giving diphenhydramine (choice
A) can help with itching or hives but is not as effective in treating the life-threatening symptoms of anaphylaxis. Elevating the client's legs and feet (choice
B) is not the priority in this emergency situation. Replacing the infusion with 0.9% sodium chloride (choice
D) does not address the immediate need to counteract the anaphylactic reaction.