ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
Correct Answer: B
Rationale:
Correct Answer: B. Oxycodone causes central nervous system depression.
Rationale: Oxycodone is an opioid analgesic that acts on the central nervous system (CNS) to relieve pain. One common side effect of opioids like oxycodone is respiratory depression, where the CNS is suppressed, leading to a decrease in respiratory rate. In this case, the client's respiratory rate of 8/min is indicative of CNS depression caused by the oxycodone.
Summary of other choices:
A: Oxycodone does not block sodium channels to suspend nerve conduction.
C: Oxycodone does not inhibit prostaglandin synthesis.
D: Oxycodone does not promote vasodilation of cranial arteries.
Therefore, choices A, C, and D are incorrect in the context of the client's respiratory rate being 8/min.
Question 2 of 5
A nurse is preparing to administer a medication to a client. Using the rights of medication administration, which of the following actions should the nurse take to ensure the right medication is administered to the client?
Correct Answer: A
Rationale: The correct answer is A. Verifying a written order with the medication administration record is essential to ensure the right medication is administered. By comparing the written order with the medication administration record, the nurse can confirm the correct medication, dosage, route, and time. This step helps prevent medication errors and ensures the client receives the intended treatment.
Summary of other choices:
B: Documenting the full name after administration does not ensure the right medication is administered beforehand.
C: Asking another nurse to check the dosage is a good practice but does not directly confirm the right medication.
D: Using two client identifiers is important for patient safety but does not specifically address ensuring the right medication is administered.
E & F: None of these options provide a direct method to ensure the right medication is administered.
Question 3 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?
Correct Answer: C
Rationale: The correct answer is C: Calcium. Levothyroxine absorption can be affected by calcium supplements, so the client should wait at least 4 hours after taking levothyroxine before taking calcium. Calcium can bind to levothyroxine in the gastrointestinal tract, reducing its absorption and effectiveness. Ginkgo biloba (
Choice
A), Zinc (
Choice
B), and Vitamin C (
Choice
D) do not interact significantly with levothyroxine absorption, so there is no need to wait before taking them.
Question 4 of 5
A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep the solution refrigerated until 1 hr before infusion.
Total parenteral nutrition solutions should be stored in the refrigerator to maintain stability and prevent bacterial growth. By keeping the solution refrigerated until 1 hour before infusion, the nurse ensures that the solution remains safe for administration.
Incorrect choices:
A: Obtaining the client's weight three times a week is unrelated to the administration of total parenteral nutrition.
C: Changing the solution every 36 hours is not necessary and may lead to unnecessary waste.
D: Checking the client's WBC count daily is not directly related to the administration of total parenteral nutrition.
Question 5 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.