ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients in a long-term care facility. For which of the following situations should the nurse complete an incident report?
Correct Answer: C
Rationale: The correct answer is C: A client's roommate takes a medication intended for the client. The incident report should be completed in this situation because it involves a medication error that could potentially harm the client. By documenting this incident, the facility can investigate the error, implement corrective actions, and prevent similar errors in the future.
A: A client requesting to take a medication at a different time of day is a routine request and does not require an incident report.
B: A client reporting an unpleasant taste after taking a medication is a common side effect and does not indicate a medication error.
D: A client refusing to take a prescribed medication is a common occurrence and does not necessarily warrant an incident report unless it poses a serious risk to the client's health.
Question 2 of 5
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?
Correct Answer: C
Rationale: The correct answer is C. A negative sputum culture indicates that the client is adhering to the medication regimen for tuberculosis. This outcome suggests that the medication is effectively reducing the bacterial load in the lungs. A positive PPD test (choice
A) indicates exposure to TB but does not assess medication adherence. A negative HIV test (choice
B) is unrelated to TB medication adherence. Liver function test results within the expected range (choice
D) are important but do not directly confirm medication adherence for TB.
Question 3 of 5
A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: "You will need liver function tests before beginning therapy." This is important because lovastatin, as a statin medication, can potentially cause liver damage. Liver function tests are necessary to monitor any adverse effects. Option A is incorrect because there is no need to avoid dairy products with lovastatin. Option B is incorrect as extended-release medications should not be crushed. Option C is incorrect as the timing of the medication is not specified.
Question 4 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 5 of 5
A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, 'I forgot to tell the doctor I take albuterol for asthma.' For which of the following medications should the nurse withhold the dose and notify the provider?
Correct Answer: D
Rationale: The correct answer is D: Propranolol. Albuterol is a beta-2 agonist used for asthma, which can interact with beta-blockers like propranolol, potentially causing severe bronchospasm and respiratory distress. The nurse should withhold the dose and notify the provider to avoid this dangerous interaction. Isosorbide mononitrate (
A) is a nitrate used for angina, not contraindicated with albuterol. Pantoprazole (
B) is a proton pump inhibitor for acid reflux, unrelated to albuterol. Montelukast (
C) is a leukotriene receptor antagonist for asthma, not contraindicated with albuterol.