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 is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?
Correct Answer: A
Rationale: The correct answer is A: Elevated hematocrit level. When a client is experiencing fluid volume deficit, there is a decrease in circulating blood volume, leading to hemoconcentration. This results in an elevated hematocrit level due to the increased concentration of red blood cells in the blood. A weight gain (
B) would be indicative of fluid volume excess rather than deficit. Shortness of breath (
C) and distended neck veins (
D) are signs of fluid volume overload, not deficit.
Question 3 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: D
Rationale: The correct answer is D: Heart rate. Propranolol is a beta-blocker that primarily works by reducing heart rate and blood pressure. Assessing the client's heart rate before administering the medication is crucial to prevent potential complications such as bradycardia or heart block. Temperature (
A), respiratory rate (
B), and pain level (
C) are not directly related to the action or potential side effects of propranolol.
Therefore, they are not the priority assessments before administering this medication.
Question 4 of 5
A nurse is monitoring a client's peripheral IV infusion of a vesicant medication and observes swelling and coolness of the skin at the insertion site. After stopping the infusion, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Remove the IV catheter. Swelling and coolness at the insertion site indicate extravasation, which is the leakage of vesicant medication into the surrounding tissue, causing potential tissue damage. Removing the IV catheter immediately helps prevent further infiltration and tissue injury. Notifying the provider (
A) can be done after removing the catheter. Applying warm compress (
B) is incorrect as it can increase the absorption of the vesicant and worsen tissue damage. Aspirating fluid (
C) may not be effective in removing the medication from the tissue.
Question 5 of 5
A nurse is preparing to administer medications to a client and notices the wrong medication was administered on the previous shift. Which of the following actions should the nurse take first after obtaining vital signs?
Correct Answer: D
Rationale: The correct action is to inform the client's provider first because it is crucial to address the error promptly to ensure the client's safety. By informing the provider, the nurse can obtain guidance on how to proceed with the situation, such as monitoring the client for adverse effects or administering any necessary interventions. This step prioritizes the client's well-being and ensures that appropriate measures are taken promptly. Completing an incident report, documenting findings, and notifying the nursing manager can be important follow-up steps, but they should come after informing the provider to address the immediate concern.