ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is planning to administer epoetin alfa subcutaneously to a client who has anemia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Check the client's hemoglobin level. This is important before administering epoetin alfa, as it stimulates red blood cell production and can increase hemoglobin levels. Monitoring the client for hypotension (
A) is important but not directly related to administering epoetin alfa. Injecting at a 15-degree angle (
B) is not specific to administering this medication. Administering in the deltoid (
D) is not the recommended site for subcutaneous injections of epoetin alfa.
Question 2 of 5
A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?
Correct Answer: D
Rationale: The correct answer is D: Decreased ascites. Spironolactone is a diuretic commonly used in cirrhosis to reduce fluid retention, specifically ascites. As the medication helps the body eliminate excess fluid, a decrease in ascites would indicate that the client is responding to the treatment. Increased appetite (
A) and increased energy (
C) are not directly related to the medication or the treatment of cirrhosis. Decreased jaundice (
B) is more indicative of improved liver function rather than the specific response to spironolactone.
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: C
Rationale: The correct answer is C: Glaucoma. Atropine is contraindicated in clients with glaucoma because it can increase intraocular pressure, worsening the condition. Bronchospasms (
A), diarrhea (
B), and diverticulitis (
D) are not contraindications for atropine administration. Bronchospasms can actually be treated with atropine, and diarrhea and diverticulitis are not directly affected by atropine.
Question 4 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's oxygen saturation. When a client is receiving diazepam for sedation, respiratory depression is a potential adverse reaction. Monitoring oxygen saturation helps assess the client's respiratory status. This is crucial as diazepam can suppress the respiratory drive, leading to hypoxemia. Monitoring for seizure activity (
B) is not directly related to diazepam administration for sedation. Checking urinary output (
C) and auscultating bowel sounds (
D) are not relevant in assessing adverse reactions to diazepam for sedation.
Question 5 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: B
Rationale: The correct answer is B: "You will receive TPN through a central vein." This is because TPN is a form of nutrition that is administered directly into the bloodstream through a central vein to provide essential nutrients when a client is unable to tolerate oral or enteral feedings. Administering TPN through a central vein allows for rapid absorption of nutrients into the bloodstream.
Choice A is incorrect because TPN is not specifically indicated for low platelet count.
Choice C is incorrect because TPN is not used to treat high glucose levels.
Choice D is incorrect because the duration of TPN administration varies based on the client's condition and needs, and it is not always given for 6 months.