ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: The correct answer is C because administering insulin 1 hr before scheduled time can have serious consequences on the client's blood sugar levels. Incident reports are required for any unexpected or adverse events that occur during client care.
Choices A and B are expected outcomes that do not necessarily require incident reports.
Choice D, receiving a meal tray late, is a minor issue that does not pose immediate harm to the client.
Question 2 of 5
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
Correct Answer: C
Rationale: The correct answer is C: Oxycodone causes central nervous system depression. Oxycodone is an opioid analgesic that acts on the central nervous system (CNS) to relieve pain. One of the side effects of opioids like oxycodone is respiratory depression, which can lead to a decreased respiratory rate. This occurs because opioids suppress the activity of the brainstem respiratory centers, resulting in shallow breathing and decreased respiratory rate.
Choices A, B, and D are incorrect as they do not directly relate to the respiratory depression caused by oxycodone.
Choice A is related to local anesthetics, not opioids.
Choice B is related to migraine treatment.
Choice D is related to NSAIDs, not opioids.
Question 3 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is I5 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the IV infusion rate, first, convert the infusion time to minutes (30 min).
Then, calculate the total volume to be infused (100 mL). Next, determine the total number of drops needed (15 gtt/mL x 100 mL) = 1500 drops. Finally, divide the total drops by the infusion time in minutes (1500 drops / 30 min) = 50 gtt/min. This is why choice A (50) is correct.
Choices B, C, and D are incorrect as they do not match the calculated infusion rate.
Question 4 of 5
A nurse is preparing to transcribe a prescription for a client that reads 'ondansetron 8 mg by mouth every 12 hr PRN.' Which of the following parts of the prescription should the nurse clarify with the provider?
Correct Answer: D
Rationale: The correct answer is D: Reason. The nurse should clarify the reason for the prescription with the provider because it is important to understand the underlying condition or symptoms the medication is intended to treat. This information helps ensure the appropriateness of the prescription and aids in monitoring the client's response to the medication. Clarifying the dose (
A), route (
B), and frequency (
C) are essential but the reason (
D) behind the prescription is crucial for safe and effective medication administration.
Choices E, F, and G are not applicable in this scenario.
Question 5 of 5
A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. Nifedipine is a calcium channel blocker used to treat hypertension. Before administering, the nurse should assess the client's blood pressure as this medication can cause hypotension as a side effect. Monitoring blood pressure ensures safety and effectiveness of the medication. Assessing respiratory rate, temperature, and oxygen saturation are important but not specific to nifedipine administration. Blood pressure is the priority assessment in this case.