ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 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: C
Rationale: Ginkgo biloba is known to increase the risk of bleeding when taken with warfarin. It has antiplatelet effects that can enhance the anticoagulant effects of warfarin, leading to an increased risk of bleeding complications.
Therefore, it is contraindicated for concurrent use with warfarin.
Question 2 of 5
A nurse is preparing to transcribe a prescription for a client that reads 'ondansetron 8 mg by mouth every 12 hr PRN.' Which of the following parts of the prescription should the nurse clarify with the provider?
Correct Answer: D
Rationale: Reason is not specified in the prescription. PRN (as needed) medications should include the specific indication for use to ensure safe and appropriate administration. The nurse should clarify with the provider under what circumstances the ondansetron should be given, such as for nausea or vomiting.
Question 3 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: B
Rationale: Hypotension indicates that the current rate of dopamine infusion is not sufficient to maintain adequate blood pressure and perfusion. In the context of septic shock, maintaining an adequate mean arterial pressure (MAP) is crucial to ensure organ perfusion and prevent further complications. Increasing the dopamine infusion rate can help achieve the desired MAP and stabilize the patient's condition.
Question 4 of 5
A nurse accidentally administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Check the client's glucose level is the most appropriate action, as metformin is an antidiabetic medication that lowers blood glucose levels. Monitoring the client's glucose level will help assess the impact of the incorrect medication administration and guide further treatment.
Question 5 of 5
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Elevate the extremity is the correct action to take. Elevating the affected limb can help reduce swelling and promote the reabsorption of the infiltrated fluid. Additionally, the IV catheter should be removed, and a new IV site should be selected.