ATI RN
ATI Pharmacology 2023 III 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: C
Rationale: The correct answer is C: Use two client identifiers prior to administering the medication. This is crucial to ensure the right medication is given to the right client. By using two identifiers (such as name and date of birth), the nurse verifies the client's identity accurately. This step helps prevent medication errors and ensures patient safety.
Option A is not as effective as it does not directly verify the client's identity. Option B involves verifying the written order but does not confirm the client's identity. Option D is after administration and does not prevent errors.
Question 2 of 5
A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Keep the solution refrigerated until 1 hr before infusion. This is important to prevent bacterial growth and maintain the integrity of the TPN solution. Keeping it refrigerated helps to preserve the nutrients and prevent contamination.
A: Obtaining the client's weight three times a week is not directly related to administering TPN.
B: Checking the client's WBC count daily is not necessary for administering TPN.
D: Changing the solution every 36 hours is not the standard practice for TPN administration.
In summary, choice C is correct because it ensures the safety and efficacy of the TPN solution, while the other choices are not directly relevant to the administration process.
Question 3 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. In septic shock, the body's blood pressure drops significantly, leading to hypotension. Dopamine is a vasopressor that helps increase blood pressure by constricting blood vessels.
Therefore, if the client's blood pressure remains low despite being on dopamine, it indicates that the current rate of infusion is not sufficient to maintain adequate perfusion to vital organs. Increasing the rate of infusion would help improve blood pressure and perfusion.
Choices A, C, and D are incorrect as they are not directly related to the need for increasing the dopamine infusion rate in septic shock.
Question 4 of 5
A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?
Correct Answer: D
Rationale: The correct answer is D: Elevated hematocrit level. In fluid volume deficit, there is a decrease in blood volume, leading to an increase in the concentration of red blood cells (hematocrit). This is a compensatory mechanism to maintain oxygen delivery. Weight gain (choice
A) and distended neck veins (choice
B) are indicative of fluid volume excess. Shortness of breath (choice
C) is a common symptom of heart failure but not specific to fluid volume deficit.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because rifampin can cause a harmless side effect of orange discoloration of bodily fluids, including urine. This is important for the client to be aware of to prevent unnecessary concern or alarm.
Choice A is incorrect as rifampin can reduce the effectiveness of oral contraceptives.
Choice B is incorrect as rifampin is usually taken once daily in the morning on an empty stomach.
Choice C is incorrect as wearing soft contact lenses is not recommended while on rifampin due to potential discoloration.