ATI RN
ATI RN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a medication to a client. Using the rights of medication administration, which of the following actions should the nurse take to ensure the right medication is administered to the client?
Correct Answer: B
Rationale:
Correct
Answer: B - Use two client identifiers prior to administering the medication.
Rationale: Using two client identifiers ensures that the right medication is administered to the correct client. By verifying the client's identity using two unique identifiers such as their name and date of birth, the nurse minimizes the risk of administering the medication to the wrong person. This step is crucial in preventing medication errors and ensuring patient safety.
Other choices:
A: Asking another nurse to check the medication dosage is a good practice for double-checking accuracy but does not specifically ensure the right medication is administered.
C: Documenting the medication name after administration is important for record-keeping but does not prevent errors in medication administration.
D: Verifying a written order with the medication administration record is essential but does not directly ensure the right medication is administered to the correct client.
Question 2 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: B
Rationale: The correct answer is B: Pruritus. Pruritus, or itching, is a common manifestation of an allergic reaction to medications like cefaclor. Allergic reactions can present with skin symptoms such as rash, hives, or itching. Hematuria (
A) is not typically associated with allergic reactions but may indicate kidney issues. Slurred speech (
C) and tremor (
D) are more likely to be related to neurological or systemic side effects of medications rather than allergic reactions.
Question 3 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate. Propranolol is a beta-blocker that primarily works by decreasing heart rate and blood pressure.
Therefore, assessing the client's heart rate before administering the medication is crucial to ensure that it is within the desired range. Monitoring the heart rate can help determine if the client is at risk for bradycardia or other potential adverse effects of propranolol. Assessing pain level (choice
A), respiratory rate (choice
B), and temperature (choice
D) are not directly related to the action of propranolol and are not necessary assessments prior to administering this medication.
Question 4 of 5
A nurse is teaching a client who has a new prescription for nitroglycerin sublingual tablets for treating angina. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale:
Correct
Answer: B - Place the tablet under the tongue until dissolved.
Rationale: Nitroglycerin sublingual tablets are meant to be taken sublingually, which means placing it under the tongue until it dissolves. This allows for rapid absorption into the bloodstream to quickly relieve angina symptoms. Placing it under the tongue enhances its effectiveness and ensures proper absorption.
Incorrect
Choices:
A: Calling 911 if pain persists after 30 minutes is important but not specific to nitroglycerin administration.
C: Storing nitroglycerin tablets in the refrigerator may affect their potency. They should be stored in a cool, dry place.
D: Taking a tablet every 10 minutes is excessive and could lead to overdose. Nitroglycerin tablets should be taken as directed by a healthcare provider.
Question 5 of 5
A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?
Correct Answer: C
Rationale: The correct answer is C: Sildenafil. Nitroglycerin and sildenafil both lower blood pressure, and combining them can cause a dangerous drop in blood pressure leading to hypotension, syncope, or even a heart attack.
Therefore, they are contraindicated together. Lansoprazole (
A) is a proton pump inhibitor used for acid reflux and is safe to use with nitroglycerin. Diazepam (
B) is a benzodiazepine used for anxiety and muscle spasms, which does not interact significantly with nitroglycerin. Gemfibrozil (
D) is a lipid-lowering medication and does not have any significant interactions with nitroglycerin.