ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "I will notify your provider of your decision." This answer is correct because it shows respect for the client's autonomy while also ensuring that the healthcare provider is informed of the client's decision to refuse medication. By notifying the provider, the nurse ensures that the client's healthcare team is aware of the situation and can make any necessary adjustments to the treatment plan.
Choices A, B, and D are incorrect because they do not prioritize the client's autonomy and may come across as judgmental or dismissive.
Choice A minimizes the client's concerns, choice B puts the client on the spot without addressing the underlying reasons for refusal, and choice D uses a threatening approach that may harm the nurse-client relationship. It's important for the nurse to respect the client's decision while also ensuring that proper communication with the healthcare team is maintained.
Question 2 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate. Before administering propranolol, a beta-blocker, the nurse should assess the client's heart rate because this medication works by slowing down the heart rate and reducing blood pressure. Monitoring the heart rate helps ensure the medication is given safely and effectively. Assessing pain level (
A) is important but not directly related to propranolol administration. Temperature (
B) is not typically a crucial assessment before giving propranolol. Respiratory rate (
D) is also important but not the priority when administering this medication.
Question 3 of 5
A nurse is providing teaching to a client who reports smoking 3 packs of cigarettes per day and has a prescription for nicotine gum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct Answer: A - Chew the gum slowly over 30 minutes.
Rationale: Chewing nicotine gum slowly over 30 minutes allows for proper absorption of nicotine through the oral mucosa, mimicking the slow release of nicotine from smoking. This helps reduce cravings and withdrawal symptoms effectively.
Summary of incorrect choices:
B: Do not chew more than 40 pieces of gum per day - While there is a recommended maximum amount of nicotine gum per day, this specific instruction does not address proper chewing technique.
C: Allow 9 months for the gum to achieve the therapeutic effect - This is inaccurate as nicotine gum provides immediate relief from cravings and withdrawal symptoms.
D: Drink a glass of water 5 minutes before chewing the gum - While staying hydrated is important, this instruction does not directly relate to the proper use of nicotine gum.
Question 4 of 5
A nurse is caring for an adolescent who is receiving treatment for burns and is requesting medication for pain. Which of the following questions should the nurse ask to determine the quality of the adolescent's pain?
Correct Answer: D
Rationale: The correct answer is D: Can you describe what your pain feels like? This question is crucial in determining the quality of pain, as it helps the nurse understand the characteristics of the pain (e.g., sharp, dull, burning). Understanding the quality of pain can provide valuable information for the nurse to identify potential causes and tailor appropriate pain management strategies.
Choice A is incorrect because pointing to the area of severe pain indicates location, not quality.
Choice B focuses on the timing of pain escalation, not quality.
Choice C assesses pain intensity on a numerical scale, not quality.
In summary, asking the adolescent to describe the pain sensation (choice
D) helps the nurse gain insights into the nature of the pain, which is essential for effective pain management.
Question 5 of 5
A nurse is preparing to administer an antibiotic via intermittent IV bolus to a client who is already receiving an infusion of 0.9% sodium chloride at 100 mL/hr. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Hang the secondary infusion higher than the primary IV infusion. This is to ensure that the antibiotic is infused first and at a faster rate than the maintenance fluid, preventing dilution of the antibiotic. Placing the secondary infusion higher allows gravity to push the antibiotic into the bloodstream before the maintenance fluid. Having another nurse verify the medication (choice
A) is a good practice but not directly related to the administration process. Disconnecting the primary IV infusion (choice
C) would interrupt the maintenance fluid, causing potential harm to the client. Flushing the IV site with sterile water (choice
D) is not necessary in this case and could introduce contaminants.