ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is to apply a warm, moist compress (
Choice
D) because it can help improve circulation to the IV site, reduce edema, and potentially prevent complications like phlebitis. By applying warmth, blood vessels dilate, increasing blood flow and promoting healing. Slowing the IV solution rate (
Choice
A) won't address the underlying issue of decreased circulation. Initiating a new IV distal to the initial site (
Choice
B) may not be necessary if the issue can be resolved with a warm compress. Maintaining the extremity below the level of the heart (
Choice
C) may not improve circulation sufficiently.
Question 2 of 5
A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale:
Correct Answer: C - Increase in BP
Rationale: Albumin is a colloid solution that helps increase plasma volume, leading to an increase in blood pressure in patients with shock. This increase in BP is an expected outcome when administering albumin to a patient in shock.
Incorrect choices:
A: Oxygen saturation 96% - This finding is not directly related to the administration of albumin and does not indicate the expected response in a patient in shock.
B: PaCO2 30 mm Hg - PaCO2 levels are not typically influenced by the administration of albumin and are not a specific expected finding in this scenario.
D: Decrease in protein - Albumin is a protein, so administering it would not lead to a decrease in protein levels in the patient.
Summary: The correct answer is C because albumin infusion helps increase blood pressure in patients in shock.
Choices A, B, and D are incorrect as they are not directly related to the expected outcome of administering albumin in
Question 3 of 5
A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: The client has a history of a severe penicillin allergy. This is the priority for the nurse to report to the provider because cefuroxime belongs to the cephalosporin class of antibiotics, which has a cross-reactivity with penicillin.
Therefore, a client with a severe penicillin allergy may also be allergic to cephalosporins like cefuroxime. This information is crucial for the provider to assess the risk of administering cefuroxime to the client and consider alternative antibiotics to avoid a potentially severe allergic reaction.
Choice A: The client has a BUN of 18 mg/dL - This information is not directly related to the prescription of cefuroxime for sinusitis and does not pose an immediate risk to the client's health in this context.
Choice B: The client takes an aspirin daily - While aspirin use is important to consider for potential drug interactions, it is not as
Question 4 of 5
A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B. Mixing the medications with a semisolid food for the client with dysphagia helps prevent choking or aspiration. This method makes it easier for the client to swallow the medication safely. Tilt the client's head back (
A) can lead to aspiration. Administering more than one pill at a time (
C) can increase the risk of choking. Placing medications on the back of the tongue (
D) can also trigger the gag reflex and increase the risk of aspiration.
Question 5 of 5
A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is to apply a warm, moist compress (
Choice
D) because it can help improve circulation to the IV site, reduce edema, and potentially prevent complications like phlebitis. By applying warmth, blood vessels dilate, increasing blood flow and promoting healing. Slowing the IV solution rate (
Choice
A) won't address the underlying issue of decreased circulation. Initiating a new IV distal to the initial site (
Choice
B) may not be necessary if the issue can be resolved with a warm compress. Maintaining the extremity below the level of the heart (
Choice
C) may not improve circulation sufficiently.