ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. In septic shock, the client experiences severe hypotension due to decreased blood flow to vital organs. Dopamine is a vasopressor used to increase blood pressure.
Therefore, if the nurse observes persistent hypotension, it indicates that the current dose of dopamine is not effectively raising blood pressure and should be increased. Extravasation (
A), headache (
B), and chest pain (
D) are not direct indications for adjusting the dopamine infusion rate in this scenario.
Question 2 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 3 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: B
Rationale: The correct answer is B: Glaucoma. Atropine is a medication that can worsen the condition of glaucoma by increasing intraocular pressure, leading to potential vision damage. Bronchospasms (
A), diverticulitis (
C), and diarrhea (
D) are not contraindications for atropine administration. Bronchospasms can actually be treated with atropine, while diverticulitis and diarrhea are not directly affected by atropine.
Question 4 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the air bubble remains in the syringe. This is important because enoxaparin is an anticoagulant medication and should be injected without removing the air bubble to ensure the full dose is administered.
Choice A is incorrect as enoxaparin should be injected into the abdomen, not the lateral thigh.
Choice B is incorrect because the skin fold should be held during the injection to ensure proper administration.
Choice D is incorrect as rubbing the site after injection can cause bruising or irritation.
Question 5 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: D
Rationale:
Correct Answer: D. Grasp skin between thumb and forefinger throughout the injection.
Rationale: By grasping the skin between thumb and forefinger throughout the injection, the nurse ensures proper technique to create a taut surface for the needle insertion. This helps to minimize bleeding post-injection by reducing the risk of hitting a blood vessel.
Summary of Incorrect
Choices:
A: Aspirating the syringe prior to injecting heparin is not necessary for subcutaneous injections and may increase the risk of tissue trauma.
B: The Z-track method is used for intramuscular injections, not subcutaneous injections like heparin.
C: Massaging the site post-injection can increase the risk of bleeding by dispersing the medication.