ATI RN
ATI RN Pharmacology 2023 II 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 hour before scheduled is a medication error that could potentially harm the client. Incident reports are necessary to document any deviations from standard procedures to ensure proper investigation and prevention of future errors.
Choices A, B, and D are situations that require immediate action but do not necessarily warrant an incident report as they are within the scope of normal nursing care.
Question 2 of 5
A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is important because insulin dosages need to be precise, and using reading glasses ensures accurate measurement, reducing the risk of under- or overdosing. Using the deltoid muscle as an injection site (
A) is not appropriate for insulin glargine, as it should be injected into the subcutaneous tissue of the abdomen, thigh, or upper arm. Administering insulin glargine before each meal (
B) is incorrect as it is a long-acting insulin usually given once daily at the same time. Taking an additional dose prior to exercise (
C) is not necessary and can lead to hypoglycemia.
Question 3 of 5
A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?
Correct Answer: B
Rationale: The correct answer is B: Prochlorperazine. Prochlorperazine is an antiemetic medication used to treat severe vomiting. It works by blocking dopamine receptors in the brain, helping to relieve nausea and vomiting. Propafenone (
A) is an antiarrhythmic medication, not indicated for vomiting. Metformin (
C) is used to treat diabetes, not vomiting. Simvastatin (
D) is a statin medication used to lower cholesterol, not for vomiting. In this scenario, the nurse should administer Prochlorperazine to help alleviate the client's severe vomiting.
Question 4 of 5
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: B
Rationale: The nurse should clarify the prescription for Nalbuphine with the provider because it is an opioid agonist-antagonist analgesic and could potentially interact with morphine, leading to decreased analgesic effects or increased risk of side effects like respiratory depression. Ondansetron (
A) is commonly used for nausea and vomiting, Insulin glargine (
C) for diabetes, and Acetaminophen (
D) for pain relief, but they do not have significant interactions with morphine.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Blurred vision. Carbamazepine is known to cause ocular side effects, including blurred vision. The rationale behind this is that carbamazepine can affect the eye muscles and nerves, leading to visual disturbances. It is important for the client to monitor for any changes in vision and report them to their healthcare provider.
Other choices (B, C,
D) are incorrect because tachypnea (fast breathing), insomnia, and metallic taste are not common adverse effects associated with carbamazepine use. It is crucial for the nurse to focus on educating the client about the specific potential adverse effects of the medication to ensure early detection and appropriate management.