ATI RN
ATI RN Pharmacology Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: File a report with the facility to document the incident as a near miss medication error. This is the most appropriate action because reporting the incident helps ensure that proper protocols are followed to prevent future errors. By documenting it as a near miss, the facility can investigate the root cause and implement corrective measures.
Choice B is incorrect because it does not address the error or follow proper reporting procedures.
Choice C is incorrect as it does not involve reporting the error or taking necessary steps to prevent recurrence.
Choice D is also incorrect as the first step should be to report the error internally before contacting the prescribing provider.
Question 2 of 5
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. Hypotension is the priority finding because it can lead to decreased placental perfusion, compromising fetal oxygenation. The nurse should address this promptly to ensure the well-being of both the mother and baby. Temperature elevation may indicate infection but is not as urgent as hypotension in this scenario. Leg weakness and urinary retention are common side effects of epidural anesthesia and can be managed without compromising the client's safety.
Question 3 of 5
A nurse is caring for a client who has a history of cardiac arrhythmias and is taking verapamil. For which of the following reasons should the nurse consult the pharmacist?
Correct Answer: C
Rationale: The correct answer is C:
To assess compatibility of the verapamil with newly ordered medications. Verapamil is a calcium channel blocker that can interact with other medications, leading to potential adverse effects or reduced effectiveness. Consulting the pharmacist will ensure that there are no harmful drug interactions when new medications are added.
A: Verifying the frequency of administration is important but does not necessarily require pharmacist consultation.
B: Reporting the client's refusal to take verapamil is important but does not directly relate to the pharmacist.
D: Requesting a change in dosage may be necessary, but this decision should be based on the client's response and not solely on consultation with the pharmacist.
Question 4 of 5
A nurse is teaching a client who has stable angina and a new prescription for nitroglycerin transdermal patches 0.8 mg/hr daily. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will take the patch off after dinner every night." This statement indicates that the client understands the teaching because nitroglycerin patches should be removed for a 10-12 hour nitrate-free interval to prevent tolerance. Cutting the patches in half (choice
A) may alter the dose delivery and effectiveness. Applying a new patch to the same site (choice
C) can cause skin irritation. Putting a second patch on for chest pain (choice
D) can lead to overdose.
Question 5 of 5
A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Administer the medication into one nostril once per week. This is because cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia, and it is typically administered weekly. It is important to administer the medication into one nostril to ensure proper absorption.
Choice B is incorrect because using a nasal decongestant before the medication is not necessary for administering nasal cyanocobalamin.
Choice C is incorrect as the duration of self-administration may vary depending on the individual's condition and should be determined by a healthcare provider.
Choice D is incorrect because there is no need to lie down for an hour after administering nasal cyanocobalamin.