ATI RN
ATI RN Pharmacology 2023 II 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: C
Rationale: The correct answer is C: Administer IV dextrose. Hypoglycemia in a client receiving parenteral nutrition indicates a low blood sugar level, which can be dangerous. Administering IV dextrose is the appropriate action to quickly raise the blood sugar level. Obtaining arterial blood gases (
Choice
A) is not necessary for managing hypoglycemia. Warming formula to room temperature (
Choice
B) will not address the low blood sugar level. Discontinuing the infusion (
Choice
D) would worsen the hypoglycemia by stopping the source of nutrition.
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 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 4 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: The correct answer is C: Identify the client using two identifiers. This should be the first action because it ensures the right medication is being given to the right patient, which is crucial for patient safety. By confirming the client's identity with two identifiers (such as name and date of birth), the nurse minimizes the risk of medication errors. Documenting the administration of the medication (
A) should come after ensuring the correct patient is receiving it. Comparing medication amounts to inventory (
B) and removing medication from the cabinet (
D) are important steps but not as critical as confirming the patient's identity.
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.