ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 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: B
Rationale: The correct response is B: "I will discuss other treatment options with your provider." This answer is appropriate because it shows the nurse's willingness to address the client's fear of needles and explore alternative treatments. It demonstrates patient-centered care and promotes open communication. Option A may minimize the client's fear but doesn't address the underlying issue. Option C is coercive and does not respect the client's autonomy. Option D uses fear tactics and is not therapeutic.
Question 2 of 5
A nurse is caring for a client who is receiving total parenteral nutrition. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Electrolyte imbalance.
Total parenteral nutrition (TPN) provides essential nutrients directly into the bloodstream, bypassing the digestive system. This can lead to electrolyte imbalances due to the concentrated nature of the solution. Monitoring electrolyte levels is crucial to prevent complications such as hyperglycemia or hypokalemia. Diarrhea (
A), aspiration pneumonia (
B), and nausea (
D) are not typically associated with TPN administration.
Question 3 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Consult a drug reference guide for possible interactions. This is the best action because drug reference guides provide comprehensive information on potential interactions between medications and food. By consulting a drug reference guide, the nurse can ensure that the client's medication is administered safely and effectively. Checking the client's medical record (
Choice
A) may not always contain the most up-to-date information on interactions. Asking another nurse (
Choice
C) may not guarantee accurate information. Having the client take the medication on an empty stomach (
Choice
D) without proper knowledge of interactions can be harmful.
Question 4 of 5
A nurse is caring for a client who is experiencing manifestations of acute cocaine toxicity. Which of the following medication prescriptions should the nurse anticipate administering?
Correct Answer: C
Rationale: The correct answer is C: Diazepam. Diazepam is a benzodiazepine that can help manage the agitation, anxiety, and seizures associated with acute cocaine toxicity by acting as a sedative and anticonvulsant. Aspirin (
A) is not indicated for this condition. Sodium bicarbonate (
B) is used for tricyclic antidepressant overdose, not cocaine toxicity. Naloxone (
D) is used for opioid overdose, not cocaine toxicity.
Question 5 of 5
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
Correct Answer: B
Rationale: The correct answer is B: WBC count. Filgrastim is a medication that stimulates the production of white blood cells (WBCs). Monitoring the WBC count is essential to evaluate the effectiveness of the treatment as an increase in WBC count indicates the medication is working to boost the immune system.
Incorrect options:
A: INR (International Normalized Ratio) is used to monitor the effectiveness of anticoagulant therapy, not filgrastim.
C: Potassium level monitoring is important for clients taking certain medications that can affect potassium levels, but not specifically for evaluating the effectiveness of filgrastim.
D: BUN (Blood Urea Nitrogen) is a measure of kidney function and hydration status, not related to evaluating the effectiveness of filgrastim.