ATI RN
ATI RN Pharmacology 2023 Retake 2 Questions
Extract:
Question 1 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: B
Rationale: The correct answer is B: Administer the medication into the anterolateral or posterolateral abdominal area. Enoxaparin is a type of low molecular weight heparin that is typically administered subcutaneously into the fatty tissue of the abdomen. The anterolateral and posterolateral abdominal areas are recommended sites for subcutaneous injections to ensure proper absorption of the medication. By choosing these areas, the nurse minimizes the risk of injecting the medication into a muscle or a blood vessel, which could lead to complications. It is important to rotate injection sites to prevent tissue damage and ensure consistent absorption. Expelling air bubbles from the syringe (choice
A) is not necessary with prefilled syringes. Holding the skin taut (choice
C) is not required for subcutaneous injections. Massaging the injection site (choice
D) is not recommended as it can increase the risk of bruising or bleeding.
Question 2 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: B
Rationale: The correct answer is B: Return expired medication to the pharmacist. This is the best option because pharmacists have the proper means to dispose of medications safely, ensuring they do not harm the environment or others. Pouring medication into a waste basket (
A), discarding it down the toilet (
C), or rinsing it down the sink (
D) can lead to environmental contamination and potential harm. Returning medication to the pharmacist is the most responsible and eco-friendly way to dispose of expired medications.
Question 3 of 5
A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Wear gloves when handling the medication. This is because hazardous IV medications can be absorbed through the skin, and wearing gloves provides a barrier to protect the nurse from exposure. Administering the medication in a negative pressure room (
B) is unnecessary for most hazardous IV medications. Protective footwear (
C) may not be specifically required for administering the medication. Wearing an N95 respiratory mask (
D) is not necessary unless the medication produces airborne particles that require respiratory protection.
Question 4 of 5
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Inject air into the vial to withdraw the short-acting insulin. This step is necessary to prevent creating a vacuum in the vial, making it easier to withdraw the correct dose of insulin. Injecting air into the vial equalizes the pressure inside, facilitating the smooth withdrawal of the desired insulin amount. This technique helps prevent contamination and ensures accurate dosage delivery. Using two separate syringes (choice
C) is unnecessary and may lead to potential errors. Administering the insulin within 20 minutes (choice
A) is not a critical step in this process. Ensuring NPH insulin is drawn first (choice
D) is incorrect as it should be the short-acting insulin that is drawn first for proper mixing.
Question 5 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.