ATI RN
ATI RN Pharmacology 2023 V 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 swelling and promote fluid reabsorption, preventing further infiltration. By elevating the extremity, gravity assists in draining the excess fluid back into circulation. Applying pressure (choice
A) may further damage tissues. Slowing the infusion rate (choice
B) may not be sufficient to prevent further infiltration. Flushing the IV catheter (choice
D) is not appropriate in this situation as it does not address the issue of infiltration.
Question 2 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 3 of 5
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?
Correct Answer: D
Rationale: The correct answer is D: Ginkgo biloba. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. This combination can lead to excessive bleeding. Coenzyme Q10 (
A) does not have significant interactions with warfarin. Probiotics (
B) and valerian (
C) are also generally safe to take with warfarin.
Therefore, the nurse should identify ginkgo biloba as contraindicated due to its potential to enhance the anticoagulant effects of warfarin.
Question 4 of 5
A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?
Correct Answer: C
Rationale: The correct answer is C: Hypertension. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with tyramine in aged cheese, leading to hypertensive crisis. Tyramine can displace norepinephrine, causing a sudden increase in blood pressure. Diarrhea (
A) and somnolence (
B) are not commonly associated with this interaction. Bradycardia (
D) is more commonly associated with other medications like beta-blockers.
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.