ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's oxygen saturation. When a client is receiving diazepam for sedation, respiratory depression is a potential adverse reaction. Monitoring oxygen saturation helps assess the client's respiratory status. This is crucial as diazepam can suppress the respiratory drive, leading to hypoxemia. Monitoring for seizure activity (
B) is not directly related to diazepam administration for sedation. Checking urinary output (
C) and auscultating bowel sounds (
D) are not relevant in assessing adverse reactions to diazepam for sedation.
Question 2 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "You will receive TPN through a central vein." This is because TPN is a form of nutrition that is administered directly into the bloodstream through a central vein to provide essential nutrients when a client is unable to tolerate oral or enteral feedings. Administering TPN through a central vein allows for rapid absorption of nutrients into the bloodstream.
Choice A is incorrect because TPN is not specifically indicated for low platelet count.
Choice C is incorrect because TPN is not used to treat high glucose levels.
Choice D is incorrect because the duration of TPN administration varies based on the client's condition and needs, and it is not always given for 6 months.
Question 3 of 5
A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide is associated with this adverse effect, characterized by involuntary movements of the face, tongue, and extremities. The nurse should monitor for signs such as lip smacking, tongue protrusion, and rapid eye movements. Oral candidiasis (
A) is not directly related to metoclopramide. Black stools (
B) could indicate gastrointestinal bleeding but is not a common adverse effect of metoclopramide. Dry cough (
C) is not a typical side effect.
Therefore, the nurse should focus on monitoring for tardive dyskinesia (
D) when administering high-dose metoclopramide.
Question 4 of 5
A nurse is preparing to administer a medication to a client. Using the rights of medication administration, which of the following actions should the nurse take to ensure the right medication is administered to the client?
Correct Answer: B
Rationale: The correct answer is B: Use two client identifiers prior to administering the medication. This is important to ensure the right medication is given to the right client. By using two identifiers, such as the client's name and date of birth, the nurse can confirm the client's identity and prevent medication errors. Asking another nurse to check the dosage (choice
A) is a good practice but does not directly ensure the right medication is administered. Verifying a written order (choice
C) and documenting the medication name (choice
D) are essential steps in medication administration but do not specifically address ensuring the right medication is given to the client.
Question 5 of 5
A nurse is caring for a client who is experiencing manifestations of acute cocaine toxicity. Which of the following medication prescriptions should the nurse anticipate administering?
Correct Answer: C
Rationale: The correct answer is C: Diazepam. Diazepam is a benzodiazepine that can help manage the agitation, anxiety, and seizures associated with acute cocaine toxicity by acting as a sedative and anticonvulsant. Aspirin (
A) is not indicated for this condition. Sodium bicarbonate (
B) is used for tricyclic antidepressant overdose, not cocaine toxicity. Naloxone (
D) is used for opioid overdose, not cocaine toxicity.