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 preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?
Correct Answer: D
Rationale: The correct answer is D: Urticaria. Urticaria, also known as hives, is a common manifestation of an allergic reaction to penicillin. It presents as raised, itchy welts on the skin. Monitoring for urticaria is crucial as it indicates a potential allergic response, which can progress to more severe reactions like anaphylaxis. Dyspepsia (
A) refers to indigestion and is not typically associated with allergic reactions. Bradycardia (
B) is a slow heart rate, which is not a common sign of an allergic reaction. Pallor (
C) refers to paleness of the skin and is a non-specific symptom that may not necessarily indicate an allergic reaction.
Therefore, the nurse should focus on monitoring for urticaria as a key sign of an allergic reaction to penicillin G IM.
Question 3 of 5
A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?
Correct Answer: B
Rationale: The correct answer is B: Has a systemic fungal infection. Prednisone is a corticosteroid that suppresses the immune system, making the body more susceptible to fungal infections.
Therefore, having a systemic fungal infection would be a contraindication to prednisone therapy as it could worsen the existing infection.
A: Prior episode of kidney stones - This is not a contraindication to prednisone therapy.
C: History of asthma - Prednisone is commonly used to manage asthma, so having a history of asthma does not contraindicate its use.
D: Taking levothyroxine orally - Levothyroxine is a thyroid hormone replacement medication and does not directly interact with prednisone.
Question 4 of 5
A nurse is assessing a client who has a transdermal fentanyl patch in place. Which of the following findings should the nurse document as an adverse effect of this medication?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Fentanyl, a potent opioid, can cause hypotension as an adverse effect due to its central nervous system depressant effects, leading to a decrease in blood pressure. Tachycardia (
A) is less common with fentanyl, insomnia (
B) is not a typical side effect, and diarrhea (
D) is also less likely. It is crucial for the nurse to monitor for signs of hypotension when a client is on a fentanyl patch to prevent complications.
Question 5 of 5
A nurse is teaching a newly licensed nurse about administering naloxone to treat a client who is experiencing opioid toxicity. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client for ventricular arrhythmia after administration. This is crucial because naloxone can precipitate ventricular arrhythmias in some cases due to its rapid reversal of opioid effects. Monitoring for this adverse effect allows for prompt intervention if needed.
Choice A is incorrect because naloxone is not administered orally, it is typically given intravenously or intramuscularly due to its rapid onset of action.
Choice B is incorrect as naloxone is not contraindicated for clients with glaucoma.
Choice D is incorrect because naloxone has a short duration of action, so it should be administered as needed rather than on a fixed schedule every 1 to 2 hours.