ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: C
Rationale: The correct answer is C: Pruritus. Pruritus, or itching, is a common symptom of an allergic reaction to medications like cefaclor. It is caused by the release of histamine in response to the allergen. Hematuria (
A) is blood in the urine, not typically associated with allergic reactions. Tremor (
B) and slurred speech (
D) are neurological symptoms, not typical of allergic reactions.
Question 2 of 5
A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Bradycardia. Amiodarone is an antiarrhythmic medication that can cause bradycardia as an adverse effect due to its action on the heart's electrical conduction system. This can lead to a slow heart rate, which the nurse should monitor for. The other choices are incorrect because hypertension (
A) is not a common adverse effect of amiodarone, fever (
C) is not typically associated with this medication, and bradypnea (
D) refers to slow breathing rate, which is not a typical adverse effect of amiodarone.
Question 3 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: C
Rationale: The correct answer is C: Wear gloves when handling the medication. This is essential to prevent direct contact with the hazardous IV medication, reducing the risk of exposure and contamination. Administering the medication in a negative pressure room (
A) is unnecessary for routine administration and may not be feasible in all settings. Protective footwear (
B) is not directly related to handling IV medication. Wearing an N95 respiratory mask (
D) is not necessary unless the medication produces airborne particles.
Question 4 of 5
A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?
Correct Answer: B
Rationale: The correct answer is B: Compile a list of all medications the client is currently taking. This should be completed first to establish a baseline of the client's current medications. By compiling a comprehensive list, the nurse can ensure accuracy when comparing preadmission medications (
C), addressing discrepancies (
D), and documenting updates (
A). Without an accurate list of current medications, the nurse may overlook important details and compromise patient safety. Comparing preadmission medications, addressing discrepancies, and documenting updates are all important steps in medication reconciliation, but they should follow the initial compilation of the client's current medications to ensure a thorough and accurate process.
Question 5 of 5
A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Check the client's glucose level. Metformin is a medication used to treat diabetes by lowering blood sugar levels, so administering it instead of metoprolol, a beta-blocker, can lead to hypoglycemia. Checking the client's glucose level is crucial to monitor and address any potential hypoglycemia. The other choices (B, C,
D) are not relevant in this situation as they do not address the immediate risk of hypoglycemia associated with administering metformin instead of metoprolol.