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 preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wear gloves when handling the medication. This is crucial to prevent direct contact with the hazardous IV medication, reducing the risk of exposure. Protective footwear (
A) is not necessary for IV administration. An N95 mask (
B) is used for respiratory protection, which is not required for handling IV medications. Administering in a negative pressure room (
C) is more relevant for airborne precautions, not for handling IV medications.
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 is receiving total parenteral nutrition. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Electrolyte imbalance.
Total parenteral nutrition (TPN) provides essential nutrients directly into the bloodstream, bypassing the digestive system. This can lead to electrolyte imbalances due to the concentrated nature of the solution. Monitoring electrolyte levels is crucial to prevent complications such as hyperglycemia or hypokalemia. Diarrhea (
A), aspiration pneumonia (
B), and nausea (
D) are not typically associated with TPN administration.
Question 5 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: D
Rationale: The correct answer is D: Heart rate. Propranolol is a beta-blocker that primarily works by reducing heart rate and blood pressure. Assessing the client's heart rate before administering the medication is crucial to prevent potential complications such as bradycardia or heart block. Temperature (
A), respiratory rate (
B), and pain level (
C) are not directly related to the action or potential side effects of propranolol.
Therefore, they are not the priority assessments before administering this medication.