ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 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: B
Rationale: The correct answer is B: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication that can cause respiratory depression as a side effect. This occurs due to its central nervous system depressant effects, leading to a decrease in the drive to breathe. Monitoring for a decrease in respiratory rate is crucial to prevent respiratory compromise or failure. The other options are incorrect because propofol does not typically cause an increase in heart rate (
A), bowel function (
C), or body temperature (
D) as its primary adverse effects.
Question 2 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 3 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Return expired medication to the pharmacist. This is the safest method of medication disposal as pharmacists have proper procedures to handle and dispose of expired medications safely. Pouring medication into the waste basket (
A), discarding down the toilet (
B), and rinsing down the sink (
C) can lead to environmental contamination and potential harm to others. Returning medication to the pharmacist ensures proper disposal and prevents misuse or accidental ingestion.
Question 4 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: A
Rationale:
Correct Answer: A
Rationale:
1. Remove the air bubble to avoid injecting air into the bloodstream, which can cause harm.
2. After drawing up the correct dose, flick the syringe to move any air bubbles to the top, and then push the plunger to expel the air.
3. Inject the medication slowly at a 45 to 90-degree angle into the fatty tissue of the abdomen or thigh.
4. Pinch the skin fold and insert the needle. After injecting, release the skin fold.
5. Avoid rubbing the site to prevent irritation and bruising.
Summary:
- B: Rubbing the site can cause irritation and bruising.
- C: Injections are typically given in the abdomen or thigh, not specifically the lateral thigh.
- D: Releasing the skin fold after injecting is correct, not before.
- E, F, G: No additional options provided.
Question 5 of 5
A nurse is caring for a client who is receiving magnesium sulfate IV bolus for preeclampsia. The client's respiratory rate is 6/min and they have absent deep tendon reflexes. Which of the following medications should the nurse anticipate the provider to prescribe?
Correct Answer: B
Rationale: The correct answer is B: Calcium gluconate. In this scenario, the client is likely experiencing magnesium toxicity, characterized by respiratory depression and absent deep tendon reflexes. Calcium gluconate is the antidote for magnesium sulfate toxicity as it antagonizes the effects of magnesium on the neuromuscular system, restoring neuromuscular excitability and potentially preventing cardiac arrest. Methylergonovine (
A) is used to prevent or control postpartum hemorrhage, not for magnesium toxicity. Naloxone (
C) is used to reverse opioid overdose, not magnesium toxicity. Dexamethasone (
D) is a corticosteroid used for anti-inflammatory and immunosuppressant effects, not for magnesium toxicity.