ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Identify the client using two identifiers. This is the first step the nurse should take to ensure the right client receives the medication. By confirming the client's identity with two identifiers, such as name and date of birth, the nurse minimizes the risk of medication errors. Removing the medication from the cabinet (
A) should come after confirming the client's identity. Comparing medication amounts (
C) and documenting administration (
D) are important steps but should follow client identification to prioritize patient safety.
Question 2 of 5
A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D: Respiratory rate 10/min. A decreased respiratory rate is indicative of respiratory depression, a serious adverse reaction to morphine. Morphine is a central nervous system depressant that can slow down the respiratory drive, leading to hypoventilation and potentially respiratory arrest. In contrast, choices A, B, and C are within normal limits and not specific to morphine adverse effects. A high blood pressure may be seen with pain or anxiety, while a normal temperature and heart rate are not typically affected by morphine.
Therefore, the respiratory rate is the most critical vital sign to monitor for adverse reactions to IV morphine.
Question 3 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Rationale:
Choice D is correct because returning expired medication to the pharmacist ensures proper disposal, preventing environmental harm and misuse.
Choice A is incorrect as it can lead to accidental ingestion.
Choice B is incorrect as it can contaminate water sources.
Choice C is incorrect as it can harm aquatic life.
Question 4 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, especially at high doses, can cause tardive dyskinesia, which is a serious movement disorder characterized by uncontrollable facial and body movements. This adverse effect is associated with long-term use of metoclopramide and can be irreversible.
A: Dry cough is not a common adverse effect of metoclopramide.
B: Oral candidiasis is a fungal infection and is not directly linked to metoclopramide use.
C: Black stools can be a sign of gastrointestinal bleeding, which is not a typical adverse effect of metoclopramide.
D: Tardive dyskinesia is a known adverse effect of metoclopramide, especially with long-term use.
E, F, G: No additional options provided.
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: D
Rationale: The correct answer is D: Administer the medication into the anterolateral or posterolateral abdominal area. This site is recommended for enoxaparin injection as it minimizes the risk of hitting a large blood vessel or nerve. It also provides a safe and effective route for absorption. Massaging the injection site (
Choice
A) is not recommended as it can cause bruising or irritation. Expelling air bubbles (
Choice
B) is important to prevent air embolism, but this is not typically a concern with prefilled syringes. Holding the skin taut (
Choice
C) is not necessary and may cause unnecessary discomfort. Administering the medication into other areas of the body (
Choice E, F, G) may not provide consistent absorption or could lead to complications.