ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D. A respiratory rate of 10/min indicates respiratory depression, a common adverse reaction to morphine. Morphine can depress the respiratory center in the brain, leading to shallow breathing or apnea. This can result in hypoxia and potentially life-threatening complications. Blood pressure, temperature, and heart rate within normal ranges do not necessarily indicate adverse reactions to morphine. In summary, monitoring respiratory rate is crucial in detecting adverse reactions to morphine due to its potential for respiratory depression.
Question 2 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Return expired medication to the pharmacist. This is the safest method of medication disposal as pharmacists have proper procedures to handle and dispose of expired medications safely. Pouring medication into the waste basket (
A), discarding down the toilet (
B), and rinsing down the sink (
C) can lead to environmental contamination and potential harm to others. Returning medication to the pharmacist ensures proper disposal and prevents misuse or accidental ingestion.
Question 3 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: The correct answer is D: Tardive dyskinesia. Metoclopramide, especially in high doses, can lead to tardive dyskinesia, a serious movement disorder characterized by involuntary repetitive movements of the face and body. This adverse effect is more common with long-term use. It is crucial for the nurse to monitor the client for any signs of tardive dyskinesia to prevent further complications.
A: Dry cough is not a common adverse effect of metoclopramide.
B: Oral candidiasis is not a common adverse effect of metoclopramide.
C: Black stools are not a common adverse effect of metoclopramide.
E, F, G: No additional options provided.
Question 4 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D - Administer the medication into the anterolateral or posterolateral abdominal area.
Rationale: Enoxaparin is a type of anticoagulant medication that is typically administered subcutaneously. The abdomen is a common site for subcutaneous injections due to its ample subcutaneous tissue and fewer major blood vessels compared to other areas. Administering enoxaparin in the anterolateral or posterolateral abdominal area helps to minimize the risk of hitting blood vessels or nerves, reducing the likelihood of complications.
Incorrect
Choices:
A: Massaging the injection site after administering the medication is not recommended as it can cause bruising or discomfort.
B: Expelling the air bubble from the syringe is not necessary for subcutaneous injections and may result in medication wastage.
C: Holding the skin taut at the injection site is not required for subcutaneous injections and may cause unnecessary discomfort to the client.
Question 5 of 5
A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Exercise caution when changing positions. This is important to prevent dizziness and potential falls due to captopril's tendency to lower blood pressure. A: Taking extra potassium can lead to hyperkalemia, a dangerous side effect. B: Monitoring pulse rate is not necessary for captopril. C: Increasing sodium intake contradicts the medication's purpose of lowering blood pressure. E, F, and G are not applicable.