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: The correct answer is C: Ginkgo biloba. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its anticoagulant properties. Warfarin also acts as a blood thinner, so combining it with Ginkgo biloba can lead to excessive bleeding. Valerian (
A) and Coenzyme Q10 (
D) are not known to interact significantly with warfarin. Probiotics (
B) are generally safe to use with warfarin and may even have beneficial effects on gut health.
Question 2 of 5
A nurse is caring for a client who has a sulfonamide allergy. Which of the following medications should the nurse identify as contraindicated?
Correct Answer: D
Rationale: The correct answer is D: Glyburide. Sulfonamide antibiotics and sulfonylurea medications like glyburide share a similar chemical structure, increasing the risk of cross-reactivity in individuals with sulfonamide allergies. Famotidine (
A) is an H2 blocker, not contraindicated in sulfonamide allergies. Aspirin (
B) is not contraindicated unless the individual has a specific aspirin allergy. Metronidazole (
C) is an antibiotic in a different class and not contraindicated in sulfonamide allergies. Thus, the nurse should identify glyburide as contraindicated due to the potential cross-reactivity in a client with a sulfonamide allergy.
Question 3 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: The correct answer is C: Identify the client using two identifiers. This should be the first action because it ensures the right medication is being given to the right patient, which is crucial for patient safety. By confirming the client's identity with two identifiers (such as name and date of birth), the nurse minimizes the risk of medication errors. Documenting the administration of the medication (
A) should come after ensuring the correct patient is receiving it. Comparing medication amounts to inventory (
B) and removing medication from the cabinet (
D) are important steps but not as critical as confirming the patient's identity.
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:
Correct
Answer: D (Check the client's glucose level)
Rationale: Metformin is a medication used to treat diabetes, so it is essential to check the client's glucose level after the accidental administration to monitor for hypoglycemia or hyperglycemia. This action is crucial for the client's safety and to initiate appropriate interventions promptly. Monitoring thyroid function levels (
Choice
A), uric acid level (
Choice
B), or HDL level (
Choice
C) would not directly address the immediate concern of potential glucose level abnormalities resulting from the administration error.
Therefore, checking the client's glucose level is the most appropriate action in this scenario.
Question 5 of 5
A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wear gloves when handling the medication. This is crucial to prevent direct contact with the hazardous IV medication, reducing the risk of exposure. Protective footwear (
A) is not necessary for IV administration. An N95 mask (
B) is used for respiratory protection, which is not required for handling IV medications. Administering in a negative pressure room (
C) is more relevant for airborne precautions, not for handling IV medications.