ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?
Correct Answer: B
Rationale: The correct answer is B. Compiling a list of all medications the client is currently taking should be completed first in medication reconciliation to ensure accuracy. This step allows the nurse to have a comprehensive understanding of the client's current medication regimen. Documenting and sending the updated list to the pharmacy (
A) should come after compiling the list to ensure accuracy. Comparing preadmission medications to current medications (
C) and addressing discrepancies (
D) are important steps but should follow compiling the current medication list.
Question 2 of 5
A nurse is educating a client who has a new prescription for digoxin. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Check your heart rate 1 hour after taking the medication. This statement is important as digoxin can affect heart rate, and monitoring it helps assess for potential toxicity. Option A is incorrect because taking a missed dose could lead to overdose. Option B is unrelated to digoxin therapy. Option D is incorrect as visual changes are not an expected side effect of digoxin. It is crucial for nurses to prioritize patient safety by providing accurate and relevant information.
Question 3 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 4 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Dispose of the remaining medication while another nurse observes. This is the appropriate action because hydromorphone is a controlled substance, and it is crucial to follow proper disposal protocols to prevent misuse or diversion. By disposing of the remaining medication while another nurse observes, it ensures accountability and adherence to safety guidelines.
Choice A is incorrect because returning the medication to the pharmacy could lead to potential errors or misuse.
Choice C is incorrect as storing half a pill in the automated system could violate medication storage regulations.
Choice D is incorrect because placing a partial pill in a unit-dose package may not be allowed and could lead to dosing errors.
Question 5 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: C
Rationale: The correct answer is C: Blood pressure. When titrating a nitroprusside infusion, monitoring blood pressure is crucial as nitroprusside is a potent vasodilator that can cause significant hypotension. The goal is to maintain a specific blood pressure range to ensure adequate perfusion to vital organs without causing hypotension or hypertension. Monitoring urine output (
A), stroke volume (
B), and cardiac output (
D) may provide valuable information, but blood pressure is the most direct indicator of the drug's effect on the cardiovascular system. It is essential to titrate the infusion based on blood pressure changes to prevent adverse effects and ensure optimal patient outcomes.