ATI RN
ATI RN Pharmacology 2023 III 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: A
Rationale: The correct answer is A: Melena. Melena is a sign of gastrointestinal bleeding, which can be a serious complication of warfarin therapy due to its anticoagulant effects. The nurse should prioritize reporting this finding to the provider to prevent further complications. Hair loss (choice
B) is not directly related to warfarin and is a less urgent concern. Fever (choice
C) and abdominal cramping (choice
D) are also not specific to warfarin therapy and may have various causes. Reporting melena promptly is crucial for the provider to assess and manage potential bleeding risks.
Question 2 of 5
A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication commonly used for anesthesia. One of its common adverse effects is respiratory depression, leading to a decrease in respiratory rate. This occurs due to the central nervous system depressant properties of propofol, which can suppress the drive to breathe. Monitoring the client's respiratory rate is crucial to prevent respiratory complications.
Other choices are incorrect because:
A: Decrease in body temperature - Propofol does not typically affect body temperature.
C: Increase in heart rate - Propofol usually causes a decrease in heart rate due to its vasodilatory effects.
D: Increase in bowel function - Propofol does not directly impact bowel function.
Question 3 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: D
Rationale: The correct answer is D: Verify a written order with the medication administration record. This step ensures that the medication being administered matches the prescribed order, reducing the risk of errors. Documenting the full name post-administration (
A) does not prevent errors. Asking another nurse to check dosage (
B) may help but does not guarantee the right medication. Using client identifiers (
C) is important but does not directly ensure the medication is correct.
Question 4 of 5
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer IV dextrose. In hypoglycemia, the client has low blood sugar levels. Administering IV dextrose will quickly raise the client's blood sugar levels to a normal range, addressing the immediate issue. Discontinuing the infusion (
B) would not address the hypoglycemia and could worsen the client's condition. Warming the formula (
A) is not relevant to treating hypoglycemia. Obtaining arterial blood gases (
D) is not necessary to address hypoglycemia.
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: B
Rationale: The correct answer is B: Grasp skin between thumb and forefinger throughout the injection. This technique helps to create tension on the skin, stabilizing the tissue and reducing the risk of bleeding. Massaging the site (choice
A) can actually increase bleeding. Aspirating the syringe (choice
C) is not necessary for subcutaneous injections. The Z-track method (choice
D) is used for intramuscular injections, not subcutaneous.