ATI RN
ATI RN Pharmacology 2023 Retake 2 Questions
Extract:
Question 1 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: A
Rationale:
Correct
Answer: A. The client will wear his reading glasses when drawing up a dose of insulin glargine.
Rationale: Insulin glargine is a long-acting insulin that requires precise dosage measurement. Older adults may have visual impairments, making it essential to use reading glasses for accurate dosing. This outcome ensures the client's safety and effectiveness of insulin administration.
Incorrect
Choices:
B. Administering insulin glargine before each meal is incorrect as it is a long-acting insulin meant to provide a basal level of insulin throughout the day.
C. Using the deltoid muscle as an injection site is incorrect as insulin glargine is typically injected into the subcutaneous tissue of the abdomen, thigh, or upper arm.
D. Taking an additional dose of insulin glargine prior to exercise is incorrect as it may lead to hypoglycemia. Insulin dosage adjustments should be made under healthcare provider guidance.
Question 2 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: C
Rationale: The correct answer is C: Consult a drug reference guide for possible interactions. This is the best action because it provides evidence-based information on potential food and medication interactions, ensuring safe administration. Asking another nurse (
A) may not guarantee accurate information. Checking the client's medical record (
B) may not include up-to-date information on interactions. Having the client take the medication on an empty stomach (
D) is not a safe practice without proper knowledge of interactions.
Question 3 of 5
A nurse is caring for a client who is receiving vancomycin by IV infusion over 30 min. Which of the following findings indicate the client experiencing a vancomycin infusion reaction?
Correct Answer: B
Rationale: The correct answer is B: The client is experiencing hypotension. Vancomycin infusion reactions can cause hypotension due to histamine release or direct vasodilation. This can lead to a drop in blood pressure. Other choices are incorrect: A is more indicative of nephrotoxicity, C suggests phlebitis from the IV site, and D can be a sign of ototoxicity but not specific to vancomycin infusion reaction.
Question 4 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C: Breath sounds. Assessing breath sounds is crucial after administering naloxone as it can cause sudden opioid withdrawal, leading to respiratory depression. Monitoring for any signs of respiratory distress or improvement is essential for the client's safety. Assessing blood pressure (
A), pain level (
B), and heart rate (
D) are important, but respiratory status takes precedence due to the potential life-threatening complications associated with opioid toxicity.
Question 5 of 5
A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?
Correct Answer: A
Rationale: The correct answer is A. Respirations deep at a rate of 10/min is the priority finding because it indicates respiratory depression, a serious side effect of morphine. This can lead to hypoxia and respiratory arrest. Monitoring respiratory status is crucial to prevent adverse outcomes. Urinary output, vomiting, and blood pressure are important but do not pose immediate life-threatening risks like respiratory depression. Prioritizing the assessment of respiratory status ensures prompt intervention to prevent respiratory compromise.