ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction?
Correct Answer: C
Rationale: The correct answer is C, laryngeal edema. Laryngeal edema is a severe symptom of an allergic reaction, indicating a possible anaphylactic reaction. This can lead to airway obstruction and requires immediate intervention. Nausea (
A) and insomnia (
D) are common side effects of amoxicillin but not specific to an allergic reaction. Cardiac dysrhythmia (
B) is not typically associated with amoxicillin allergy.
Extract:
Provider Prescriptions 1230:
0.9% sodium chloride 500 mL bolus then 100 mL/hr.
Type and cross match for 2 units of packed RBCs.
Repeat WBC, hemoglobin, hematocrit STAT.
Delay endoscopy.
2L/min O, via nasal cannula,
1330:
2 units packed RBCs IV over 4 hr.
Repeat WBC, hemoglobin, hematocrit at transfusion completion
Question 2 of 5
The nurse is ready to begin the blood transfusion. For each potential nursing action, click to specify if the action is indicated or not indicated for the client.
| Nursing Action | Indicated | Not Indicated |
|---|---|---|
| Document the blood product transfusion in the client's medical record. | ||
| Stay with the client for the first 15 min of the transfusion. | ||
| Titrate the rate of infusion to maintain the client's blood pressure at least 90/60 mm Hg. | ||
| Obtain the first unit of packed RBCs from the blood bank. | ||
| Start an IV bolus of lactated Ringer's solution. |
Correct Answer: B
Rationale:
Step 1: Stay with the client for the first 15 min of the transfusion : This action is crucial to monitor the client for any immediate adverse reactions during the initial phase of the transfusion.
Step 2: Document the blood product transfusion in the client's medical record (Not Indicated): While documentation is important, it is not the immediate priority compared to staying with the client for monitoring.
Step 3: Titrate the rate of infusion to maintain the client's blood pressure at least 90/60 mm Hg (Not Indicated): Although monitoring blood pressure is important, titrating the rate is not the initial action needed during the first 15 min.
Step 4: Obtain the first unit of packed RBCs from the blood bank (Not Indicated): This is a necessary step before starting the transfusion but is not related to the immediate monitoring of the client.
In summary, staying with the client for the first 15 min of the transf
Extract:
Question 3 of 5
A nurse manager is planning an in-service about pain management with opioids for clients who have cancer. Which of the following information should the nurse manager include?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Opioid tolerance develops with continued use, leading to a decrease in respiratory depression risk.
2. This knowledge is crucial for safe opioid administration in cancer patients.
3. Respiratory depression risk is a significant concern with opioid use.
4. Understanding the development of tolerance helps in monitoring and managing opioid side effects.
Summary:
A: IM administration is not necessarily recommended over PO opioids; routes should be individualized.
C: Meperidine is not the opioid of choice due to toxic metabolites and limited duration of action.
D: PRN medications should not be withheld; they are essential for effective pain management.
E, F, G: No information provided.
Question 4 of 5
A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because inserting the needle at least 5 cm from the umbilicus helps prevent injury to the underlying structures. It ensures proper administration of the medication into the subcutaneous tissue, reducing the risk of complications. Massaging the site after administering the medication (choice
A) is incorrect as it can cause bruising and discomfort. Using a 21-gauge needle (choice
B) is incorrect because a smaller gauge needle is typically recommended for subcutaneous injections. Aspirating before injecting the medication (choice
C) is unnecessary for subcutaneous injections as there are no major blood vessels in the subcutaneous tissue.
Question 5 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: D
Rationale: The correct answer is D: Dispose of the remaining medication while another nurse observes. This is the appropriate action for the nurse to take because hydromorphone is a controlled substance, and any remaining portion of the tablet should not be saved or stored for future use. The presence of another nurse observing the disposal ensures accountability and adherence to proper medication administration protocols. Returning the medication to the pharmacy (
A), storing the remaining half of the pill in the automated system (
B), or placing it in the unit dose package (
C) are all incorrect as they do not align with safe medication handling practices for controlled substances. The key is to prevent diversion and ensure proper disposal under supervision.