ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is monitoring a client's peripheral IV infusion of a vesicant medication and observes swelling and coolness of the skin at the insertion site. After stopping the infusion, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Remove the IV catheter. Swelling and coolness at the insertion site indicate extravasation, which is the leakage of vesicant medication into the surrounding tissue, causing potential tissue damage. Removing the IV catheter immediately helps prevent further infiltration and tissue injury. Notifying the provider (
A) can be done after removing the catheter. Applying warm compress (
B) is incorrect as it can increase the absorption of the vesicant and worsen tissue damage. Aspirating fluid (
C) may not be effective in removing the medication from the tissue.
Question 2 of 5
A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Keep the solution refrigerated until 1 hr before infusion.
Total parenteral nutrition (TPN) is a sterile solution that should be kept refrigerated to maintain its sterility. It should be taken out of the refrigerator about 1 hour before infusion to allow it to reach room temperature and prevent discomfort to the client. Checking the client's WBC count daily (
B) is not directly related to administering TPN. Changing the solution every 36 hours (
C) is not necessary unless contamination is suspected. Obtaining the client's weight three times a week (
D) is important for monitoring the effectiveness of TPN but not a preparation step.
Question 3 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: D
Rationale: The correct answer is D: Pruritus. Pruritus is a common symptom of an allergic reaction, typically presenting as itching of the skin. Allergic reactions to medications like cefaclor can manifest in various ways, but pruritus is a classic sign. Hematuria (
A) is blood in urine, not typically associated with allergic reactions. Slurred speech (
B) and tremor (
C) are more indicative of neurological issues, not allergies.
Therefore, pruritus is the most relevant finding in this scenario.
Question 4 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following prescribed medications should the nurse anticipate administering to the client?
Correct Answer: C
Rationale: The correct answer is C: Lorazepam. Lorazepam is a benzodiazepine used to manage alcohol withdrawal symptoms like anxiety, agitation, and seizures. It acts on the GABA receptors to produce a calming effect. Bupropion (
A) is used for smoking cessation, Disulfiram (
B) is used to deter alcohol consumption by causing unpleasant effects, and Methadone (
D) is used for opioid withdrawal.
Question 5 of 5
A nurse administers 2 mg of morphine out of a vial containing 4 mg. Which of the following actions should the nurse take with the remaining medication in the vial?
Correct Answer: D
Rationale: The correct answer is D: Dispose of the medication as waste in an approved receptacle. This is because once a vial has been accessed, it is considered contaminated and should not be stored for future use. Option A is incorrect as storing the medication for the client's next dose is not safe practice due to the risk of contamination. Option B is incorrect as the remaining medication should be disposed of properly, not simply discarded in a sharps container. Option C is incorrect as returning the medication to the pharmacy is not appropriate once it has been accessed. Proper disposal in an approved receptacle ensures safety and prevents potential harm from misuse.