ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?
Correct Answer: D
Rationale: The correct answer is D: Respirations deep at a rate of 10/min. This is the priority finding because it indicates respiratory depression, a serious side effect of morphine. Low respiratory rate and deep breathing can lead to hypoxia and respiratory arrest. Monitoring respiratory status is crucial when administering opioids.
A: Urinary output of 20 mL within 1 hr - While decreased urinary output may indicate decreased renal perfusion, respiratory depression is a more immediate concern.
B: Blood pressure 90/60 mm Hg - Hypotension can be a side effect of morphine, but respiratory depression takes precedence.
C: Vomiting 30 mL of fluid - Although vomiting can be a side effect of morphine, it is not as immediately life-threatening as respiratory depression.
Question 2 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 3 of 5
A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "We will discuss other treatment options with your provider." This response is appropriate because it acknowledges the client's fear of needles and shows a willingness to explore alternative treatment options. It promotes open communication and collaboration between the nurse, client, and healthcare provider.
Option A is incorrect because it uses a threatening approach, which may further discourage the client from receiving treatment. Option B is incorrect as it dismisses the client's fear as insignificant and may come across as insensitive. Option D is incorrect as it presents a false ultimatum and does not address the client's concerns.
Question 4 of 5
A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Check the client's glucose level. Metformin is a medication used to treat diabetes by lowering blood sugar levels, so administering it instead of metoprolol, a beta-blocker, can lead to hypoglycemia. Checking the client's glucose level is crucial to monitor and address any potential hypoglycemia. The other choices (B, C,
D) are not relevant in this situation as they do not address the immediate risk of hypoglycemia associated with administering metformin instead of metoprolol.
Question 5 of 5
A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Exercise caution when changing positions. This is important to include in the teaching because captopril, an ACE inhibitor, can cause orthostatic hypotension, leading to dizziness upon standing up quickly. By advising the client to exercise caution when changing positions, the nurse can help prevent falls and other complications. Option A is incorrect as captopril can increase potassium levels, so adding a daily potassium supplement may lead to hyperkalemia. Option B is incorrect because increasing sodium intake can counteract the medication's blood pressure-lowering effects. Option D is incorrect as monitoring pulse rate is not specifically necessary for captopril.