ATI RN
ATI RN Pharmacology 2023 Retake 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving vancomycin by IV infusion over 30 min. Which of the following findings indicate the client experiencing a vancomycin infusion reaction?
Correct Answer: B
Rationale: The correct answer is B: The client is experiencing hypotension. Vancomycin infusion reactions can cause hypotension due to histamine release or direct vasodilation. This can lead to a drop in blood pressure. Other choices are incorrect: A is more indicative of nephrotoxicity, C suggests phlebitis from the IV site, and D can be a sign of ototoxicity but not specific to vancomycin infusion reaction.
Question 2 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C: Breath sounds. Assessing breath sounds is crucial after administering naloxone as it can cause sudden opioid withdrawal, leading to respiratory depression. Monitoring for any signs of respiratory distress or improvement is essential for the client's safety. Assessing blood pressure (
A), pain level (
B), and heart rate (
D) are important, but respiratory status takes precedence due to the potential life-threatening complications associated with opioid toxicity.
Question 3 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: A
Rationale: The correct answer is A. Respirations deep at a rate of 10/min is the priority finding because it indicates respiratory depression, a serious side effect of morphine. This can lead to hypoxia and respiratory arrest. Monitoring respiratory status is crucial to prevent adverse outcomes. Urinary output, vomiting, and blood pressure are important but do not pose immediate life-threatening risks like respiratory depression. Prioritizing the assessment of respiratory status ensures prompt intervention to prevent respiratory compromise.
Question 4 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: D
Rationale: The correct answer is D: Blood pressure. When titrating a nitroprusside infusion, monitoring blood pressure is crucial as it directly reflects the effects of the medication on vasodilation and blood flow. Adjusting the infusion based on blood pressure ensures optimal therapeutic effects while preventing adverse reactions like hypotension or hypertension. Stroke volume (
A) and cardiac output (
B) are indirect measures of blood pressure and may not provide real-time feedback for titration. Urine output (
C) is important but not as immediate or direct as blood pressure in this context.
Therefore, focusing on blood pressure allows for precise titration and better patient safety.
Question 5 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: A
Rationale: The correct answer is A: Glaucoma. Atropine is contraindicated in clients with glaucoma because it can increase intraocular pressure, worsening the condition. Bronchospasms (
B), diverticulitis (
C), and diarrhea (
D) are not contraindications for atropine. Atropine is actually used to treat bronchospasms and diarrhea in some cases. It is important to assess the client's medical history to ensure safe administration of medications.