ATI RN
ATI RN Pharmacology 2019 Questions
Extract:
Question 1 of 5
A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings is a therapeutic effect of naloxone?
Correct Answer: C
Rationale: The correct answer is C: Increased respiratory rate. Naloxone is a medication used to reverse the effects of opioids like morphine. Opioids can suppress respiratory function, leading to decreased breathing rate. By administering naloxone, the nurse can reverse this effect, leading to an increase in the client's respiratory rate, which is a therapeutic effect. Decreased blood pressure and decreased nausea are not direct effects of naloxone but may occur as a result of reversing the opioid effects. Increased pain relief is not a therapeutic effect of naloxone but rather the desired effect of opioids like morphine.
Question 2 of 5
A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Potassium 5.2 mEq/L. Amitriptyline can cause side effects such as electrolyte imbalances, including hyperkalemia. A potassium level of 5.2 mEq/L is elevated and should be reported to the provider for further evaluation and management. The other options, A, B, and C, are within normal ranges and do not typically require immediate reporting. A low WBC count, normal total bilirubin level, and hematocrit of 44% are not directly associated with amitriptyline use and are not concerning in this context.
Question 3 of 5
A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?
Correct Answer: B
Rationale: The correct answer is B: Fever. This indicates an acute infusion reaction to IV amphotericin B. Fever is a common symptom of infusion reactions, signaling an immune response to the medication. Pedal edema is not typically associated with infusion reactions. Dry cough is more indicative of respiratory issues. Hyperglycemia is not directly related to infusion reactions. In summary, fever is the most reliable indicator as it aligns with common symptoms of acute infusion reactions.
Question 4 of 5
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Inject air into the NPH vial. This step is crucial to prevent creating a vacuum in the vial when withdrawing the insulin. Injecting air into the NPH vial equalizes the pressure, making it easier to withdraw the insulin without causing leakage or difficulty in drawing up the correct dose. It ensures accurate measurement and prevents contamination.
Choice B is incorrect because withdrawing the NPH insulin before injecting air can create a vacuum in the vial, making it difficult to withdraw the correct dose.
Choice C is incorrect because regular insulin should be drawn after preparing the NPH insulin.
Choice D is incorrect because air should be injected into the NPH vial first.
Question 5 of 5
A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following clients?
Correct Answer: C
Rationale: The correct answer is C: A client who is transferred to a step-down unit. Medication reconciliation is important during transitions of care to ensure continuity and prevent medication errors. When a client is transferred to a new unit, there is a risk of discrepancies in medication orders. Performing medication reconciliation in this scenario helps to verify the accuracy of the client's medication list, including any changes made during the transfer process.
Choice A is incorrect because having a referral for social services does not necessarily involve a change in medication that would require reconciliation.
Choice B is incorrect because being transported to radiology is a routine procedure and does not typically involve medication changes.
Choice D is incorrect as a consultation for physical therapy may not directly impact the client's medication regimen.