ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 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: D
Rationale: The correct answer is D: Wear gloves when handling the medication. This is crucial to prevent direct contact with the hazardous IV medication, reducing the risk of exposure. Protective footwear (
A) is not necessary for IV administration. An N95 mask (
B) is used for respiratory protection, which is not required for handling IV medications. Administering in a negative pressure room (
C) is more relevant for airborne precautions, not for handling IV medications.
Question 2 of 5
A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the ondansetron is effective?
Correct Answer: D
Rationale: The correct answer is D: Decreased nausea. Ondansetron is an antiemetic medication used to treat nausea and vomiting.
Therefore, a decrease in nausea indicates the effectiveness of ondansetron. Absence of peripheral neuropathy (
A) is not directly related to the action of ondansetron. Increased urinary output (
B) is not a common effect of ondansetron. Reduced dizziness (
C) may not necessarily indicate the effectiveness of ondansetron specifically for nausea.
Therefore, the best indicator of ondansetron's effectiveness in this scenario is a decrease in nausea.
Question 3 of 5
A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication that can cause respiratory depression as a common adverse effect. This is due to its central nervous system depressant effects, which can lead to a decrease in respiratory drive. Monitoring the client's respiratory rate is crucial to detect any signs of respiratory depression promptly. The other choices are incorrect because propofol does not typically cause a decrease in body temperature, an increase in bowel function, or an increase in heart rate. It is important to prioritize the monitoring of respiratory status when administering propofol to ensure the client's safety.
Question 4 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Correct Answer: B
Rationale:
Correct Answer: B: Grasp skin between thumb and forefinger throughout the injection.
Rationale: Grasping the skin between the thumb and forefinger helps to create tension at the injection site, which can help minimize bleeding after the injection. This technique helps to stabilize the skin and underlying tissues, reducing the risk of bruising or bleeding. It also ensures proper needle insertion and medication delivery without causing damage to the surrounding blood vessels or tissues.
Summary of Other
Choices:
A: Using the Z-track method is not necessary for subcutaneous injections, as it is primarily for intramuscular injections to prevent medication leakage.
C: Massaging the site can increase bleeding by causing further disruption of the blood vessels.
D: Aspirating the syringe is not needed for subcutaneous injections since the needle tip is not in a blood vessel.
Question 5 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Consult a drug reference guide for possible interactions. This is the best action because drug reference guides provide comprehensive information on potential interactions between medications and food. By consulting a drug reference guide, the nurse can ensure that the client's medication is administered safely and effectively. Checking the client's medical record (
Choice
A) may not always contain the most up-to-date information on interactions. Asking another nurse (
Choice
C) may not guarantee accurate information. Having the client take the medication on an empty stomach (
Choice
D) without proper knowledge of interactions can be harmful.