ATI RN
ATI Pharmacology 2023 III 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 medication is given to the right patient, following the principles of medication safety. By verifying the client's identity using two identifiers (such as name and date of birth), the nurse can prevent medication errors and ensure patient safety. Removing the medication (
A) is important but should only be done after confirming the patient's identity. Comparing the medication amount to the inventory record (
C) is a later step in the medication administration process. Documenting the administration (
D) is essential but should come after verifying the patient's identity.
Question 2 of 5
A nurse is caring for a client who started haloperidol five days ago and is experiencing neuroleptic malignant syndrome. Which of the following prescriptions should the nurse anticipate administering?
Correct Answer: C
Rationale: The correct answer is C: Bromocriptine. Bromocriptine is used to treat neuroleptic malignant syndrome, a rare but serious side effect of antipsychotic medications like haloperidol. It works by increasing dopamine levels in the brain, helping to alleviate symptoms of muscle rigidity, fever, and altered mental status associated with neuroleptic malignant syndrome. Benztropine (
Choice
A) is an anticholinergic medication used to treat extrapyramidal symptoms, not neuroleptic malignant syndrome. Naloxone (
Choice
B) is used to reverse opioid overdose. Diphenhydramine (
Choice
D) is an antihistamine and not indicated for neuroleptic malignant syndrome.
Question 3 of 5
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?
Correct Answer: A
Rationale: The correct answer is A: PT (Prothrombin Time). PT is used to monitor warfarin therapy as it measures the extrinsic pathway of the clotting process, which warfarin affects. Monitoring PT helps ensure the client is within the therapeutic range to prevent bleeding or clotting complications.
Total iron-binding capacity (
B) is unrelated to warfarin therapy. WBC (
C) is a white blood cell count, not relevant for warfarin monitoring. PTT (
D) is used to monitor heparin therapy, not warfarin.
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 in high doses, can lead to tardive dyskinesia, a serious movement disorder characterized by involuntary repetitive movements of the face and body. This adverse effect is more common with long-term use. It is crucial for the nurse to monitor the client for any signs of tardive dyskinesia to prevent further complications.
A: Dry cough is not a common adverse effect of metoclopramide.
B: Oral candidiasis is not a common adverse effect of metoclopramide.
C: Black stools are not a common adverse effect of metoclopramide.
E, F, G: No additional options provided.
Question 5 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: C
Rationale: The correct answer is C: Keep the solution refrigerated until 1 hr before infusion. This is important to prevent bacterial growth and maintain the integrity of the TPN solution. Keeping it refrigerated helps to preserve the nutrients and prevent contamination.
A: Obtaining the client's weight three times a week is not directly related to administering TPN.
B: Checking the client's WBC count daily is not necessary for administering TPN.
D: Changing the solution every 36 hours is not the standard practice for TPN administration.
In summary, choice C is correct because it ensures the safety and efficacy of the TPN solution, while the other choices are not directly relevant to the administration process.