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 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 3 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 4 of 5
A nurse is caring for a client who is experiencing manifestations of acute cocaine toxicity. Which of the following medication prescriptions should the nurse anticipate administering?
Correct Answer: C
Rationale: The correct answer is C: Diazepam. Diazepam is a benzodiazepine that can help manage the agitation, anxiety, and seizures associated with acute cocaine toxicity by acting as a sedative and anticonvulsant. Aspirin (
A) is not indicated for this condition. Sodium bicarbonate (
B) is used for tricyclic antidepressant overdose, not cocaine toxicity. Naloxone (
D) is used for opioid overdose, not cocaine toxicity.
Question 5 of 5
A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide is associated with this adverse effect, characterized by involuntary movements of the face, tongue, and extremities. The nurse should monitor for signs such as lip smacking, tongue protrusion, and rapid eye movements. Oral candidiasis (
A) is not directly related to metoclopramide. Black stools (
B) could indicate gastrointestinal bleeding but is not a common adverse effect of metoclopramide. Dry cough (
C) is not a typical side effect.
Therefore, the nurse should focus on monitoring for tardive dyskinesia (
D) when administering high-dose metoclopramide.