ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following prescribed medications should the nurse anticipate administering to the client?
Correct Answer: C
Rationale: The correct answer is C: Lorazepam. Lorazepam is a benzodiazepine used to manage alcohol withdrawal symptoms like anxiety, agitation, and seizures. It acts on the GABA receptors to produce a calming effect. Bupropion (
A) is used for smoking cessation, Disulfiram (
B) is used to deter alcohol consumption by causing unpleasant effects, and Methadone (
D) is used for opioid withdrawal.
Question 2 of 5
A nurse administers 2 mg of morphine out of a vial containing 4 mg. Which of the following actions should the nurse take with the remaining medication in the vial?
Correct Answer: D
Rationale: The correct answer is D: Dispose of the medication as waste in an approved receptacle. This is because once a vial has been accessed, it is considered contaminated and should not be stored for future use. Option A is incorrect as storing the medication for the client's next dose is not safe practice due to the risk of contamination. Option B is incorrect as the remaining medication should be disposed of properly, not simply discarded in a sharps container. Option C is incorrect as returning the medication to the pharmacy is not appropriate once it has been accessed. Proper disposal in an approved receptacle ensures safety and prevents potential harm from misuse.
Question 3 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A. Assessing breath sounds first is crucial because opioid toxicity can lead to respiratory depression, which is life-threatening. By assessing breath sounds, the nurse can determine if the client is effectively ventilating after naloxone administration. Blood pressure and heart rate may be affected by naloxone, but respiratory status takes precedence. Pain level assessment is important but not the priority in this situation.
Question 4 of 5
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?
Correct Answer: C
Rationale: The correct answer is C: A client who has AIDS. Individuals with AIDS have weakened immune systems, making them more susceptible to adverse effects from live vaccines like the varicella vaccine. Administering live vaccines to immunocompromised individuals can lead to severe complications.
Choice A is incorrect because receiving the human papillomavirus vaccine does not contraindicate receiving the varicella vaccine.
Choice B is incorrect as an allergy to eggs is not a contraindication for the varicella vaccine.
Choice D is incorrect as age and living in a long-term care facility do not contraindicate receiving the varicella vaccine.
Question 5 of 5
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
Correct Answer: D
Rationale: The correct answer is D: Oxycodone causes central nervous system depression. Oxycodone is an opioid that acts on the central nervous system, specifically the brainstem, to depress the respiratory center. This results in decreased respiratory rate. Options A, B, and C are incorrect because oxycodone does not directly affect cranial arteries, sodium channels, or prostaglandin synthesis in a way that would lead to respiratory depression. Option E is blank, but it would likely be incorrect as well since the correct answer is related to the central nervous system.