ATI RN
ATI RN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is preparing an educational training session about collaborating with the provider to prevent medication errors. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Providers should cosign all verbal prescriptions. This is important to ensure accountability and double-check accuracy, reducing medication errors.
Choice A is incorrect because reading back prescriptions is necessary for all medications, not just high alert ones.
Choice C is incorrect as assistive personnel should not serve as witnesses for verbal prescriptions.
Choice D is incorrect because safe abbreviations should be used by all healthcare professionals, not just providers.
Question 2 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C: Breath sounds. Assessing breath sounds is crucial after administering naloxone as it can cause sudden withdrawal symptoms such as respiratory depression. Monitoring the client's ability to breathe effectively is a priority to prevent respiratory distress or failure. Blood pressure, pain level, and heart rate are important assessments but not as immediate as ensuring adequate ventilation. It is essential to prioritize airway management and respiratory status in a client with opioid toxicity.
Question 3 of 5
A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?
Correct Answer: A
Rationale: The correct answer is A. Respirations deep at a rate of 10/min. This is the priority finding because it indicates potential respiratory depression, a serious side effect of morphine. Slow, deep respirations at a rate of 10/min could lead to hypoxia and respiratory arrest. Monitoring respiratory status is crucial when administering opioids.
B. Urinary output of 20 mL within 1 hr is low but not as immediately life-threatening as respiratory depression.
C. Vomiting 30 mL of fluid, while a potential concern, is not as critical as respiratory depression.
D. Blood pressure of 90/60 mm Hg is low but not the priority when compared to respiratory status.
Question 4 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: D
Rationale: The correct answer is D, blood pressure. Nitroprusside is a vasodilator used to lower blood pressure. The nurse should titrate the infusion based on the client's blood pressure to achieve the desired therapeutic effect without causing hypotension or adverse effects. Monitoring other parameters like stroke volume, cardiac output, or urine output may be important but are not the primary indicators for titrating nitroprusside infusion. Blood pressure directly reflects the drug's effect on vascular resistance and perfusion, making it the most relevant assessment for titration.
Question 5 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: A
Rationale: The correct answer is A: Glaucoma. Atropine is contraindicated in clients with glaucoma because it can increase intraocular pressure, worsening the condition. Glaucoma is a condition characterized by increased pressure within the eye, and atropine can exacerbate this issue.
Therefore, it is crucial to avoid administering atropine to clients with glaucoma to prevent potential harm to their eyesight.
Choices B, C, and D are incorrect as they are not known contraindications for atropine administration.