ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer IV dextrose. Hypoglycemia in a client receiving parenteral nutrition indicates low blood sugar levels, which can lead to serious complications. Administering IV dextrose is crucial to rapidly increase the client's blood glucose levels and prevent further hypoglycemia-related issues. Discontinuing the infusion (
Choice
A) would worsen the hypoglycemia. Warming formula to room temperature (
Choice
C) and obtaining arterial blood gases (
Choice
D) are not directly related to treating hypoglycemia in this scenario.
Question 2 of 5
A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D: Respiratory rate 10/min. A decreased respiratory rate is indicative of respiratory depression, a serious adverse reaction to morphine. Morphine is a central nervous system depressant that can slow down the respiratory drive, leading to hypoventilation and potentially respiratory arrest. In contrast, choices A, B, and C are within normal limits and not specific to morphine adverse effects. A high blood pressure may be seen with pain or anxiety, while a normal temperature and heart rate are not typically affected by morphine.
Therefore, the respiratory rate is the most critical vital sign to monitor for adverse reactions to IV morphine.
Question 3 of 5
A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is important to ensure accurate dosage measurement and injection technique, preventing medication errors. Option A is incorrect as insulin glargine is usually given once daily, not before each meal. Option B is incorrect because the deltoid muscle is not a recommended site for insulin injection due to inconsistent absorption. Option C is incorrect as additional doses should not be taken without consulting healthcare provider. Option D is correct as it emphasizes safety and accuracy in insulin administration.
Question 4 of 5
A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Bradycardia. Buspirone, a medication used to treat anxiety, can cause bradycardia as an adverse effect by lowering heart rate. This occurs due to its action on the central nervous system. Hypoglycemia (choice
A), hypothermia (choice
C), and hypokalemia (choice
D) are not typically associated with buspirone use. Bradycardia is the most common cardiovascular side effect of buspirone, making it the correct choice.
Question 5 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Rationale:
Choice D is correct because returning expired medication to the pharmacist ensures proper disposal, preventing environmental harm and misuse.
Choice A is incorrect as it can lead to accidental ingestion.
Choice B is incorrect as it can contaminate water sources.
Choice C is incorrect as it can harm aquatic life.