ATI RN
ATI RN Pharmacology 2023 II 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: C
Rationale: The correct answer is C: Respirations deep at a rate of 10/min. This is the priority finding because it indicates potential opioid overdose, which can lead to respiratory depression, a life-threatening complication. Shallow, slow respirations at a rate of 10/min suggest the client's respiratory drive is compromised, requiring immediate intervention to prevent respiratory arrest.
A: Vomiting 30 mL of fluid is concerning but not immediately life-threatening compared to respiratory depression.
B: Blood pressure of 90/60 mm Hg may be expected with morphine infusion but is not as critical as respiratory depression.
D: Urinary output of 20 mL within 1 hr may indicate decreased renal perfusion but is not as urgent as addressing respiratory compromise.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Your urine will turn orange while you are taking this medication. Rifampin is known to cause orange discoloration of bodily fluids, including urine. This is a harmless side effect but important for the client to be aware of.
Choice A is incorrect as rifampin should be taken on an empty stomach, not at bedtime.
Choice B is incorrect because wearing soft contact lenses is not recommended due to the risk of discoloration.
Choice C is incorrect as rifampin can reduce the effectiveness of oral contraceptives, so an alternative form of birth control should be used.
Question 3 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: D
Rationale: The correct answer is D: Heart rate. Propranolol is a beta-blocker that primarily works by reducing heart rate and blood pressure. Assessing the client's heart rate before administering the medication is crucial to prevent potential complications such as bradycardia or heart block. Temperature (
A), respiratory rate (
B), and pain level (
C) are not directly related to the action or potential side effects of propranolol.
Therefore, they are not the priority assessments before administering this medication.
Question 4 of 5
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?
Correct Answer: C
Rationale: The correct answer is C: A client who has AIDS. Individuals with AIDS have weakened immune systems, making them more susceptible to adverse effects from live vaccines like the varicella vaccine. Administering live vaccines to immunocompromised individuals can lead to severe complications.
Choice A is incorrect because receiving the human papillomavirus vaccine does not contraindicate receiving the varicella vaccine.
Choice B is incorrect as an allergy to eggs is not a contraindication for the varicella vaccine.
Choice D is incorrect as age and living in a long-term care facility do not contraindicate receiving the varicella vaccine.
Question 5 of 5
A nurse is caring for a client who develops an anaphylactic reaction to antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: The correct answer is C: Administer epinephrine IM. Epinephrine is the first-line treatment for anaphylactic reactions as it helps to reverse the symptoms rapidly by constricting blood vessels and relaxing airway muscles. It is crucial in preventing further complications such as severe respiratory distress and cardiovascular collapse. Giving diphenhydramine (choice
A) can help with itching or hives but is not as effective in treating the life-threatening symptoms of anaphylaxis. Elevating the client's legs and feet (choice
B) is not the priority in this emergency situation. Replacing the infusion with 0.9% sodium chloride (choice
D) does not address the immediate need to counteract the anaphylactic reaction.