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: Dispose of the remaining medication while another nurse observes is correct. Proper disposal of controlled substances like hydromorphone requires witnessing by another nurse to ensure accountability and prevent misuse.
Question 2 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: A
Rationale: Monitor the client's oxygen saturation is crucial when administering diazepam for sedation. Diazepam can cause respiratory depression, so monitoring oxygen saturation helps ensure the client is receiving adequate oxygen.
Question 3 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: A
Rationale: Blood pressure is the primary assessment used to titrate a nitroprusside infusion. Nitroprusside is a potent vasodilator used to rapidly lower blood pressure in hypertensive emergencies. Continuous monitoring of blood pressure is essential to ensure the medication is titrated correctly and to avoid hypotension.
Question 4 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Correct Answer: B
Rationale: Grasp skin between thumb and forefinger throughout the injection helps to stabilize the tissue and ensure the medication is delivered into the subcutaneous layer. This technique can help minimize bleeding and bruising by reducing tissue trauma during the injection.
Question 5 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: Electrolyte imbalance is a significant adverse effect of TPN. TPN solutions contain various electrolytes, and improper formulation or administration can lead to imbalances, which can cause serious complications such as cardiac arrhythmias, muscle weakness, and neurological issues.