ATI RN
ATI RN Pharmacology 2023 retake 1 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: A
Rationale: The correct answer is A. Respirations deep at a rate of 10/min. This is the priority finding because it indicates potential respiratory depression, a serious side effect of morphine. Slow, deep respirations at a rate of 10/min could lead to hypoxia and respiratory arrest. Monitoring respiratory status is crucial when administering opioids.
B. Urinary output of 20 mL within 1 hr is low but not as immediately life-threatening as respiratory depression.
C. Vomiting 30 mL of fluid, while a potential concern, is not as critical as respiratory depression.
D. Blood pressure of 90/60 mm Hg is low but not the priority when compared to respiratory status.
Question 2 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: D
Rationale: The correct answer is D, blood pressure. Nitroprusside is a vasodilator used to lower blood pressure. The nurse should titrate the infusion based on the client's blood pressure to achieve the desired therapeutic effect without causing hypotension or adverse effects. Monitoring other parameters like stroke volume, cardiac output, or urine output may be important but are not the primary indicators for titrating nitroprusside infusion. Blood pressure directly reflects the drug's effect on vascular resistance and perfusion, making it the most relevant assessment for titration.
Question 3 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: A
Rationale: The correct answer is A: Glaucoma. Atropine is contraindicated in clients with glaucoma because it can increase intraocular pressure, worsening the condition. Glaucoma is a condition characterized by increased pressure within the eye, and atropine can exacerbate this issue.
Therefore, it is crucial to avoid administering atropine to clients with glaucoma to prevent potential harm to their eyesight.
Choices B, C, and D are incorrect as they are not known contraindications for atropine administration.
Question 4 of 5
A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?
Correct Answer: B
Rationale: The correct answer is B: Elevated hematocrit level. Furosemide is a diuretic that promotes fluid loss. A decreased fluid volume in the body can lead to hemoconcentration, resulting in an elevated hematocrit level. This indicates fluid volume deficit. Distended neck veins (choice
A) are typically seen in fluid volume excess. Shortness of breath (choice
C) is a common symptom of heart failure and fluid overload, not fluid deficit. Weight gain (choice
D) is also a sign of fluid excess, not deficit.
Question 5 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: D
Rationale: The correct answer is D: Administer IV dextrose. Hypoglycemia in a client receiving parenteral nutrition indicates low blood sugar levels and requires immediate intervention to prevent complications like neurologic impairment or cardiac arrhythmias. Administering IV dextrose will quickly raise the client's blood sugar levels. Discontinuing the infusion (option
A) would further lower the client's blood sugar. Obtaining arterial blood gases (option
B) is not necessary for addressing hypoglycemia. Warming the formula to room temperature (option
C) is not the priority when dealing with hypoglycemia.