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 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.
Question 3 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. Ensure that the air bubble remains in the syringe.
Rationale: Leaving the air bubble in the syringe ensures accurate dosing of enoxaparin. The air bubble acts as a safety measure to prevent any medication loss during injection. Removing the air bubble could lead to underdosing the medication.
Incorrect:
B: Injecting into the lateral thigh is incorrect as enoxaparin is usually administered in the abdomen.
C: Releasing the skin fold before injecting ensures proper needle insertion but is not specific to enoxaparin administration.
D: Rubbing the site after injection can cause bruising and is not recommended.
Question 4 of 5
A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: Bradycardia. Amiodarone is an antiarrhythmic medication that can cause bradycardia as an adverse effect due to its impact on the electrical conduction system of the heart. This can lead to a slow heart rate, which can be concerning for the client's overall cardiovascular function. Bradypnea (
A) refers to slow breathing rate, which is not a typical adverse effect of amiodarone. Fever (
B) is not a common adverse effect of amiodarone and should prompt further investigation for other causes. Hypertension (
D) is not a typical adverse effect of amiodarone; in fact, it is more likely to cause hypotension.
Question 5 of 5
A nurse is caring for a client who has a sulfonamide allergy. Which of the following medications should the nurse identify as contraindicated?
Correct Answer: D
Rationale: The correct answer is D: Glyburide. Sulfonamide antibiotics and sulfonylurea medications like glyburide share a similar chemical structure, increasing the risk of cross-reactivity in individuals with sulfonamide allergies. Famotidine (
A) is an H2 blocker, not contraindicated in sulfonamide allergies. Aspirin (
B) is not contraindicated unless the individual has a specific aspirin allergy. Metronidazole (
C) is an antibiotic in a different class and not contraindicated in sulfonamide allergies. Thus, the nurse should identify glyburide as contraindicated due to the potential cross-reactivity in a client with a sulfonamide allergy.