ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is mixing NPH insulin and regular insulin prior to administration. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Inject air into the vial with NPH insulin in it. This should be done first to prevent contamination between the two insulins. Drawing up the NPH insulin dose should follow to avoid mixing errors. Injecting air into the regular insulin vial (choice
A) or drawing up the regular insulin dose (choice
D) before the NPH insulin can lead to incorrect dosing and potential errors in insulin administration. It is crucial to follow the correct sequence to ensure accurate mixing and administration of the insulins.
Question 2 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: You will receive TPN through a central vein. This is correct because TPN is a form of nutrition that is delivered directly into the bloodstream through a central vein, typically the subclavian vein. This method allows for the nutrients to be quickly absorbed and utilized by the body.
Explanation of why the other choices are incorrect:
A: You require TPN because your glucose is too high - This is incorrect as TPN is not typically used to address high glucose levels.
B: You will receive TPN for the next 6 months - This is incorrect because the duration of TPN therapy varies based on the individual's condition and needs.
C: You require TPN because you have a low platelet count - This is incorrect as TPN is not specifically used to address a low platelet count.
In summary, choice D is the correct answer as it pertains to the essential method of administering TPN, while the other choices are incorrect as they do
Question 3 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: B
Rationale: The correct answer is B: Glaucoma. Atropine is a medication that can worsen the condition of glaucoma by increasing intraocular pressure, leading to potential vision damage. Bronchospasms (
A), diverticulitis (
C), and diarrhea (
D) are not contraindications for atropine administration. Bronchospasms can actually be treated with atropine, while diverticulitis and diarrhea are not directly affected by atropine.
Question 4 of 5
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?
Correct Answer: D
Rationale: The correct answer is D because a client with AIDS has a weakened immune system, making them more susceptible to adverse reactions from live vaccines like the varicella vaccine. This population is at higher risk of developing severe complications from the vaccine.
A: A young adult with an egg allergy is not a contraindication for the varicella vaccine since the vaccine is grown in a cell culture, not eggs.
B: An older adult in a long-term care facility does not have a contraindication unless there are specific health conditions present.
C: A child who recently received the human papillomavirus vaccine is not a contraindication for varicella vaccine.
In summary, choice D is correct due to the increased risk of adverse reactions in a client with AIDS, while the other choices do not present contraindications.
Question 5 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: D
Rationale: The correct answer is D: Heart rate. Propranolol is a beta-blocker that primarily works by slowing down the heart rate and reducing blood pressure.
Therefore, it is crucial for the nurse to assess the client's heart rate before administering this medication to ensure it is within the safe range. Assessing the heart rate helps the nurse monitor for potential side effects such as bradycardia.
A: Pain level is not directly related to the administration of propranolol.
B: Temperature is not directly related to the administration of propranolol.
C: Respiratory rate is not the primary parameter to assess before administering propranolol.
In summary, assessing the heart rate is essential before administering propranolol to monitor its effects and ensure client safety.