ATI RN
ATI RN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Elevate the extremity. Elevating the extremity helps to reduce the swelling and prevent further infiltration by promoting drainage of the fluid back into circulation. This action helps to minimize tissue damage and discomfort for the client. Slowing the infusion rate (choice
A) may not be sufficient to address the issue of infiltration. Flushing the IV catheter (choice
B) may not resolve the infiltration and could potentially worsen the situation. Applying pressure to the IV site (choice
D) may further damage the tissues.
Question 2 of 5
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?
Correct Answer: C
Rationale: The correct answer is C: A client who has AIDS. This client has a contraindication for receiving the varicella vaccine due to their compromised immune system. Individuals with AIDS are at higher risk for developing severe complications from live vaccines, such as varicella. The varicella vaccine is a live attenuated vaccine, meaning it contains weakened live virus particles that could potentially cause illness in immunocompromised individuals. Clients with AIDS should avoid live vaccines to prevent serious adverse reactions.
Incorrect choices:
A: A child who recently received the human papillomavirus vaccine - This is incorrect because receiving the human papillomavirus vaccine does not contraindicate receiving the varicella vaccine.
B: An older adult client living in a long-term care facility - This is incorrect as age alone is not a contraindication for receiving the varicella vaccine.
D: A young adult who has an allergy to eggs - This is incorrect as having an egg allergy is not
Question 3 of 5
A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Check the client's glucose level. Metformin is an anti-diabetic medication that can lower blood sugar levels, so checking the client's glucose level is crucial to monitor for hypoglycemia. A: Monitoring thyroid function levels is irrelevant as metoprolol and metformin do not directly impact thyroid function. C: Obtaining the client's HDL level is unrelated to the medication error. D: Collecting the client's uric acid level is not necessary in this situation. Checking the glucose level is the most immediate and appropriate action to ensure the client's safety.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Your urine will turn orange while you are taking this medication. Rifampin is known to cause orange discoloration of bodily fluids, including urine, sweat, and tears. This is a harmless side effect and should be expected.
Choice A is incorrect because rifampin can reduce the effectiveness of oral contraceptives.
Choice B is incorrect as wearing soft contact lenses can lead to discoloration.
Choice C is incorrect as rifampin is usually taken once daily in the morning.
Question 5 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse identifies that the client has developed confusion pitting edema. After slowing the infusion rate, which of the following findings should the nurse assess next?
Correct Answer: A
Rationale: The correct answer is A: Urinary output. When a client on TPN develops confusion and pitting edema, it could indicate fluid overload. Slowing the infusion rate is the initial intervention to prevent further fluid accumulation. Assessing urinary output next is crucial to determine if the kidneys are functioning properly and excreting excess fluids. A decrease in urinary output would suggest renal impairment and the need for further intervention. Blood glucose level (
B) may be important but is not the priority in this case. Weight (
C) is a lagging indicator of fluid status. Heart rate (
D) may be affected by fluid overload, but urinary output is more directly related.