ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C: Moist oral mucous membranes. This indicates the IV fluid replacement has been effective in rehydrating the client. Moist oral mucous membranes are a sign of adequate hydration. Decreased blood pressure (
A) and increased heart rate (
B) are signs of dehydration, so these would not indicate effective treatment. Excessive thirst (
D) suggests ongoing dehydration. By assessing oral mucous membranes, the nurse can directly observe hydration status.
Question 2 of 5
A nurse is planning to teach a group of nurses about the uses of mannitol. Which of the following client conditions is an indication for administering this medication?
Correct Answer: C
Rationale: The correct answer is C: a client who has increased intraocular pressure. Mannitol is a osmotic diuretic used to reduce intraocular pressure in conditions like glaucoma. It works by drawing water out of the eye, reducing pressure. The other options are incorrect because: A: deep-vein thrombosis is typically treated with anticoagulants, not mannitol. B: heart failure is treated with medications like diuretics and ACE inhibitors, not mannitol. D: intracranial bleed may require surgical intervention, not mannitol.
Question 3 of 5
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?
Correct Answer: C
Rationale: The correct answer is C. A negative sputum culture indicates that the client is adhering to the medication regimen for tuberculosis. This outcome suggests that the medication is effectively reducing the bacterial load in the lungs. A positive PPD test (choice
A) indicates exposure to TB but does not assess medication adherence. A negative HIV test (choice
B) is unrelated to TB medication adherence. Liver function test results within the expected range (choice
D) are important but do not directly confirm medication adherence for TB.
Question 4 of 5
A nurse is preparing to apply a fentanyl transdermal patch. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Press the patch firmly into place using the palm of the hand for 30 seconds. This action helps ensure proper adhesion of the fentanyl patch to the skin, promoting consistent drug delivery. Pressing the patch helps create better contact between the patch and the skin, enhancing absorption. It is important to press the patch firmly but gently to avoid damaging the patch or irritating the skin.
Explanation for other choices:
A: Cleaning the application area with an alcohol swab is not necessary and may irritate the skin.
B: Applying a warm compress may alter drug absorption and is not recommended for fentanyl patches.
D: Discarding the used patch in a clear plastic bag and placing it in the trash is correct for disposal but not related to applying the patch.
Question 5 of 5
A nurse is speaking with the adult child of a client who is terminally ill and has decided to discontinue further treatment. The adult child states, 'I am not going to let this happen.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "We have to respect the wishes of your parent." This response is appropriate because it acknowledges the autonomy and decision-making capacity of the client. In end-of-life care, it is crucial to honor the client's wishes and decisions regarding their treatment. This response also promotes ethical principles such as beneficence and non-maleficence by prioritizing the client's autonomy and well-being.
Choice A is incorrect as obtaining power of attorney does not address the client's wishes directly.
Choice B focuses on the adult child's emotions rather than the client's decision.
Choice D shifts the focus to the nurse's feelings rather than the client's autonomy. These responses do not prioritize the client's wishes and autonomy, making them inappropriate in this situation.