ATI RN
ATI RN Pharmacology 2023 V 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 action is to administer IV dextrose (
Choice
C) to treat hypoglycemia in a client receiving parenteral nutrition. This is because hypoglycemia can occur when the body's glucose levels drop too low, which can be dangerous. Administering IV dextrose will help increase the client's blood sugar levels quickly and effectively. Discontinuing the infusion (
Choice
A) may worsen the hypoglycemia by removing a potential source of glucose. Obtaining arterial blood gases (
Choice
B) is not necessary for treating hypoglycemia. Warming the formula to room temperature (
Choice
D) does not address the immediate need to raise the client's blood sugar levels.
Question 2 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: A
Rationale: The correct answer is A. Verifying a written order with the medication administration record is essential to ensure the right medication is administered. By comparing the written order with the medication administration record, the nurse can confirm the correct medication, dosage, route, and time. This step helps prevent medication errors and ensures the client receives the intended treatment.
Summary of other choices:
B: Documenting the full name after administration does not ensure the right medication is administered beforehand.
C: Asking another nurse to check the dosage is a good practice but does not directly confirm the right medication.
D: Using two client identifiers is important for patient safety but does not specifically address ensuring the right medication is administered.
E & F: None of these options provide a direct method to ensure the right medication is administered.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "Your urine will turn orange while you are taking this medication." Rifampin is known to cause harmless discoloration of bodily fluids, including urine, sweat, and tears, turning them orange-red. This is important for the client to be aware of to prevent unnecessary concern.
Choice B is incorrect because rifampin is usually taken once or twice a day, not specifically at bedtime.
Choice C is incorrect because wearing soft contact lenses should be avoided while taking rifampin due to the risk of staining the lenses.
Choice D is incorrect because rifampin can reduce the effectiveness of oral contraceptives, making them less reliable.
Therefore, the nurse should emphasize the unique side effect of urine discoloration when taking rifampin to the client.
Question 4 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: C
Rationale: The correct answer is C: Return expired medication to the pharmacist. This is the safest and most environmentally friendly method of medication disposal. Pharmacies have proper protocols for disposing of medications to prevent harm to individuals and the environment.
Choice A is incorrect as flushing medication down the toilet can contaminate water sources.
Choice B is incorrect as throwing medication in the trash can lead to accidental ingestion by children or pets.
Choice D is incorrect as crushing medication and rinsing it down the sink can also harm the environment. It is essential to follow proper disposal guidelines to ensure the safety of everyone.
Question 5 of 5
A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?
Correct Answer: D
Rationale: The correct answer is D: Respirations deep at a rate of 10/min. This is the priority finding because it indicates respiratory depression, a serious side effect of morphine. Low respiratory rate and deep breathing can lead to hypoxia and respiratory arrest. Monitoring respiratory status is crucial when administering opioids.
A: Urinary output of 20 mL within 1 hr - While decreased urinary output may indicate decreased renal perfusion, respiratory depression is a more immediate concern.
B: Blood pressure 90/60 mm Hg - Hypotension can be a side effect of morphine, but respiratory depression takes precedence.
C: Vomiting 30 mL of fluid - Although vomiting can be a side effect of morphine, it is not as immediately life-threatening as respiratory depression.