ATI RN
ATI RN Pharmacology 2023 Retake 2 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: 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 2 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 3 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.
Question 4 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: C
Rationale: The correct answer is C: Consult a drug reference guide for possible interactions. This is the best action because it provides evidence-based information on potential food and medication interactions, ensuring safe administration. Asking another nurse (
A) may not guarantee accurate information. Checking the client's medical record (
B) may not include up-to-date information on interactions. Having the client take the medication on an empty stomach (
D) is not a safe practice without proper knowledge of interactions.
Question 5 of 5
A nurse is caring for a client who is receiving vancomycin by IV infusion over 30 min. Which of the following findings indicate the client experiencing a vancomycin infusion reaction?
Correct Answer: B
Rationale: The correct answer is B: The client is experiencing hypotension. Vancomycin infusion reactions can cause hypotension due to histamine release or direct vasodilation. This can lead to a drop in blood pressure. Other choices are incorrect: A is more indicative of nephrotoxicity, C suggests phlebitis from the IV site, and D can be a sign of ototoxicity but not specific to vancomycin infusion reaction.