ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking interferon. Which of the following findings indicates the client is experiencing an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Fever. Interferon can cause flu-like symptoms, including fever, as an adverse effect. This is due to its immunomodulatory properties. Tinnitus (
A) is not a common adverse effect of interferon. Paresthesia (
C) refers to abnormal sensations like tingling, which are not typically associated with interferon. Oliguria (
D) is a decrease in urine output and is not a common adverse effect of interferon. In summary, fever is the most likely adverse effect of interferon, while the other options are less likely to be directly related to this medication.
Question 2 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: D
Rationale: The correct answer is D: Blurred vision. Carbamazepine is known to cause visual disturbances, such as blurred vision, diplopia, and other vision changes. The nurse should instruct the client to monitor for these adverse effects as they may indicate a need to adjust the medication dosage. Insomnia (choice
A) is not a common adverse effect of carbamazepine. Tachypnea (choice
B) refers to rapid breathing and is not typically associated with this medication. Metallic taste (choice
C) is not a common side effect of carbamazepine. In summary, monitoring for blurred vision is crucial when taking carbamazepine to ensure early identification of potential side effects.
Question 3 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Dispose of the remaining medication while another nurse observes. This is the appropriate action because hydromorphone is a controlled substance, and it is crucial to follow proper disposal protocols to prevent misuse or diversion. By disposing of the remaining medication while another nurse observes, it ensures accountability and adherence to safety guidelines.
Choice A is incorrect because returning the medication to the pharmacy could lead to potential errors or misuse.
Choice C is incorrect as storing half a pill in the automated system could violate medication storage regulations.
Choice D is incorrect because placing a partial pill in a unit-dose package may not be allowed and could lead to dosing errors.
Question 4 of 5
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?
Correct Answer: D
Rationale: The correct answer is D: Ginkgo biloba. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. This combination can lead to excessive bleeding. Coenzyme Q10 (
A) does not have significant interactions with warfarin. Probiotics (
B) and valerian (
C) are also generally safe to take with warfarin.
Therefore, the nurse should identify ginkgo biloba as contraindicated due to its potential to enhance the anticoagulant effects of warfarin.
Question 5 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: D
Rationale: The correct answer is D: Inject air into the vial to withdraw the short-acting insulin. This step is necessary to prevent creating a vacuum in the vial, which can make it difficult to withdraw the insulin. By injecting air into the vial before withdrawing the short-acting insulin, the nurse ensures smooth and accurate extraction of the medication. Using two separate syringes (choice
A) is unnecessary as long as the nurse follows proper technique. Ensuring NPH insulin is drawn first (choice
B) is not necessary and may lead to errors in dosage. Administering the insulin within 20 minutes (choice
C) is not relevant to the preparation process.