ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving total parenteral nutrition. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: Electrolyte imbalance is a significant adverse effect of TPN. TPN solutions contain various electrolytes, and improper formulation or administration can lead to imbalances, which can cause serious complications such as cardiac arrhythmias, muscle weakness, and neurological issues.
Question 2 of 5
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Inject air into the vial to withdraw the short-acting insulin is the correct procedure. The nurse should first inject air into the NPH vial without drawing up any insulin, then inject air into the short-acting insulin vial and withdraw the required dose. This prevents contamination of the short-acting insulin with NPH insulin.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: A
Rationale: Blurred vision is a known adverse effect of carbamazepine. Clients should be instructed to monitor for changes in vision and report any issues to their healthcare provider.
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: Use two client identifiers prior to administering the medication is essential to ensure the right medication is given to the right client. This helps prevent medication errors.
Question 5 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: Tardive dyskinesia is a serious adverse effect of metoclopramide, especially with long-term or high-dose use. It involves involuntary, repetitive movements and can be irreversible.