ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Bradycardia. Amiodarone is an antiarrhythmic medication that can cause bradycardia as an adverse effect due to its action on the heart's electrical conduction system. This can lead to a slow heart rate, which the nurse should monitor for. The other choices are incorrect because hypertension (
A) is not a common adverse effect of amiodarone, fever (
C) is not typically associated with this medication, and bradypnea (
D) refers to slow breathing rate, which is not a typical adverse effect of amiodarone.
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: A
Rationale: The correct answer is A: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication that can cause respiratory depression as a common adverse effect. It works by depressing the central nervous system, leading to a decrease in respiratory rate. Monitoring the client's respiratory rate is crucial to ensure adequate oxygenation.
Incorrect choices:
B: Increase in bowel function - Propofol does not affect bowel function.
C: Decrease in body temperature - Propofol may cause hypotension but not a decrease in body temperature.
D: Increase in heart rate - Propofol typically causes a decrease in heart rate due to its sedative effects, not an increase.
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: C
Rationale: The correct answer is C: Ensure that the air bubble remains in the syringe. This is important because enoxaparin is an anticoagulant medication and should be injected without removing the air bubble to ensure the full dose is administered.
Choice A is incorrect as enoxaparin should be injected into the abdomen, not the lateral thigh.
Choice B is incorrect because the skin fold should be held during the injection to ensure proper administration.
Choice D is incorrect as rubbing the site after injection can cause bruising or irritation.
Question 4 of 5
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: A
Rationale: The correct answer is A: Nalbuphine. The nurse should clarify this prescription because nalbuphine is an opioid antagonist and may reduce the effectiveness of morphine in managing the client's pain. Acetaminophen (
B) is a mild pain reliever and can be safely used with morphine. Ondansetron (
C) is an antiemetic commonly given with opioids to manage nausea. Insulin glargine (
D) is used to control blood sugar levels and does not directly interact with morphine.
Question 5 of 5
A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the ondansetron is effective?
Correct Answer: C
Rationale: The correct answer is C: Decreased nausea. Ondansetron is an antiemetic medication used to prevent nausea and vomiting. A decrease in nausea indicates the medication is effective in managing the client's symptoms. Increased urinary output (choice
A) is not necessarily related to the effectiveness of ondansetron. Reduced dizziness (choice
B) may be a side effect of the medication but does not directly indicate its effectiveness against nausea. Absence of peripheral neuropathy (choice
D) is not a common effect of ondansetron and is not a reliable indicator of its effectiveness.