ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Melena. Melena indicates gastrointestinal bleeding, a serious side effect of warfarin. It can lead to life-threatening complications such as hemorrhage. The nurse should report this finding immediately to the provider for prompt evaluation and intervention to prevent further harm to the client.
A: Fever may indicate an infection but is not directly related to warfarin therapy.
B: Abdominal cramping can be a common side effect of warfarin but is not as urgent as melena.
C: Hair loss is not a common side effect of warfarin and is not as concerning as melena.
In summary, melena is the priority finding to report because it suggests a severe and potentially life-threatening complication of warfarin therapy, while the other options are either less urgent or unrelated to warfarin side effects.
Question 2 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's oxygen saturation. When a client is receiving diazepam for sedation, respiratory depression can occur as a potential adverse reaction. Monitoring oxygen saturation is crucial to assess the client's respiratory status and detect any signs of hypoxemia. This allows the nurse to intervene promptly if respiratory distress occurs. Option A is incorrect as diazepam does not typically cause seizure activity. Option B is irrelevant to assessing adverse reactions to diazepam. Option D is unrelated to monitoring for adverse reactions to the sedative medication.
Question 3 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: A
Rationale: The correct answer is A: Ensure that the air bubble remains in the syringe. This is important because enoxaparin is an anticoagulant medication, and any air in the syringe could lead to inaccurate dosing. The air bubble acts as a safety measure to prevent losing any medication. Option B is incorrect as rubbing the site can cause irritation and bruising. Option C is incorrect as enoxaparin is typically injected into the abdomen, not the lateral thigh. Option D is incorrect as releasing the skin fold too soon can cause the medication to leak out.
Question 4 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Identify the client using two identifiers. This is the first step the nurse should take to ensure the right client receives the medication. By confirming the client's identity with two identifiers, such as name and date of birth, the nurse minimizes the risk of medication errors. Removing the medication from the cabinet (
A) should come after confirming the client's identity. Comparing medication amounts (
C) and documenting administration (
D) are important steps but should follow client identification to prioritize patient safety.
Question 5 of 5
A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D: Respiratory rate 10/min. A decreased respiratory rate is indicative of respiratory depression, a serious adverse reaction to morphine. Morphine is a central nervous system depressant that can slow down the respiratory drive, leading to hypoventilation and potentially respiratory arrest. In contrast, choices A, B, and C are within normal limits and not specific to morphine adverse effects. A high blood pressure may be seen with pain or anxiety, while a normal temperature and heart rate are not typically affected by morphine.
Therefore, the respiratory rate is the most critical vital sign to monitor for adverse reactions to IV morphine.