ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a gonococcal infection and has been prescribed an 1M 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: D
Rationale: The correct response is D: "I will discuss other treatment options with your provider." The nurse should respect the client's autonomy and explore alternative treatment options that the client may be more comfortable with. This response demonstrates patient-centered care and promotes shared decision-making.
Choices A and B are coercive and may damage the therapeutic relationship.
Choice C minimizes the client's fear and may be perceived as dismissive.
Question 2 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Identify the client using two identifiers. This is the first step the nurse should take to ensure the right medication is given to the right patient, following the principles of medication safety. By verifying the client's identity using two identifiers (such as name and date of birth), the nurse can prevent medication errors and ensure patient safety. Removing the medication (
A) is important but should only be done after confirming the patient's identity. Comparing the medication amount to the inventory record (
C) is a later step in the medication administration process. Documenting the administration (
D) is essential but should come after verifying the patient's identity.
Question 3 of 5
A nurse is caring for a client who started haloperidol five days ago and is experiencing neuroleptic malignant syndrome. Which of the following prescriptions should the nurse anticipate administering?
Correct Answer: C
Rationale: The correct answer is C: Bromocriptine. Bromocriptine is used to treat neuroleptic malignant syndrome, a rare but serious side effect of antipsychotic medications like haloperidol. It works by increasing dopamine levels in the brain, helping to alleviate symptoms of muscle rigidity, fever, and altered mental status associated with neuroleptic malignant syndrome. Benztropine (
Choice
A) is an anticholinergic medication used to treat extrapyramidal symptoms, not neuroleptic malignant syndrome. Naloxone (
Choice
B) is used to reverse opioid overdose. Diphenhydramine (
Choice
D) is an antihistamine and not indicated for neuroleptic malignant syndrome.
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. Nalbuphine is a mixed opioid agonist-antagonist and may antagonize the effects of morphine, leading to decreased pain relief. The nurse should clarify this prescription with the provider to avoid potential interference with the effectiveness of morphine.
Summary of other choices:
B: Acetaminophen - Safe to administer with morphine for pain management.
C: Ondansetron - Used for nausea and vomiting, does not directly interact with morphine.
D: Insulin glargine - Used for diabetes management, does not interact with morphine.
Question 5 of 5
A nurse is caring for a client who develops an anaphylactic reaction to IV 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: A
Rationale: The correct answer is A: Administer epinephrine 1M. Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse the severe allergic reaction by constricting blood vessels, improving blood pressure, and opening airways to improve breathing. It is administered intramuscularly to ensure rapid absorption and effectiveness. This action is crucial in preventing further deterioration of the client's condition.
Choice B: Replacing the infusion with 0.9% sodium chloride may help stabilize the client's fluid status but does not address the anaphylactic reaction directly.
Choice C: Giving diphenhydramine intramuscularly can help with itching and mild allergic reactions but is not as effective or rapid-acting as epinephrine in treating anaphylaxis.
Choice D: Elevating the client's legs and feet is not appropriate in this situation as the priority is to address the anaphylactic reaction promptly.
In summary, administering