ATI RN
ATI RN Pharmacology 2023 V 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: D
Rationale: The correct answer is D. An incident report is needed when there is a deviation from the standard of care that could potentially harm the client. Administering insulin 1 hour before scheduled can lead to hypoglycemia, which is a serious risk.
Choice A is not ideal but does not pose immediate harm.
Choice B is a common side effect of medications.
Choice C, while serious, may be a known condition of the client.
Question 2 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: A
Rationale: The correct answer is A: Reason. The nurse should clarify the reason for giving ondansetron to ensure the appropriateness of the medication for the client's condition. Clarifying the reason helps prevent medication errors and ensures safe and effective treatment. Routes, doses, and frequencies are standard parts of a prescription that the nurse should be familiar with and can verify without additional clarification. The reason for prescribing the medication is crucial for the nurse to understand the client's condition and the intended therapeutic effect of the medication. Clarifying the reason also promotes effective communication between the healthcare provider and the nurse.
Question 3 of 5
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Melena. Melena is a serious side effect of warfarin, indicating gastrointestinal bleeding. This is a priority because it can lead to life-threatening complications. Abdominal cramping (
B) could also be concerning but is not as urgent as melena. Fever (
C) is not directly related to warfarin use. Hair loss (
D) is not typically associated with warfarin and is a lower priority.
Question 4 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Consult a drug reference guide for possible interactions. This is the best action because drug reference guides provide comprehensive information on potential interactions between medications and food. By consulting a reliable drug reference guide, the nurse can ensure the safety and effectiveness of the medication administration.
A: Having the client take the medication on an empty stomach may not necessarily prevent interactions.
C: Asking another nurse may not be reliable as the other nurse might not have the necessary information.
D: Checking the client's medical record is important but may not provide detailed information on all potential interactions like a drug reference guide.
Question 5 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct
Answer: C - Administer the medication into the anterolateral or posterolateral abdominal area.
Rationale:
1. Enoxaparin is a low molecular weight heparin that is typically administered subcutaneously.
2. The anterolateral and posterolateral abdominal areas are recommended sites for subcutaneous injections due to the presence of a thick layer of adipose tissue and minimal risk of hitting blood vessels or nerves.
3. These areas have a larger surface area, which allows for better absorption and reduces the risk of tissue damage.
4. By selecting these specific areas, the nurse ensures proper administration and absorption of the medication.
Summary:
A: Massaging the injection site can cause bruising or tissue damage and is not recommended after administering enoxaparin.
B: Holding the skin taut is not necessary and may cause discomfort to the client during injection.
D: Expelling air bubbles is important to prevent air embolism but is not specific to the administration