ATI RN
ATI RN Pharmacology 2023 V 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: A
Rationale: The correct answer is A. Verifying a written order with the medication administration record is essential to ensure the right medication is administered. By comparing the written order with the medication administration record, the nurse can confirm the correct medication, dosage, route, and time. This step helps prevent medication errors and ensures the client receives the intended treatment.
Summary of other choices:
B: Documenting the full name after administration does not ensure the right medication is administered beforehand.
C: Asking another nurse to check the dosage is a good practice but does not directly confirm the right medication.
D: Using two client identifiers is important for patient safety but does not specifically address ensuring the right medication is administered.
E & F: None of these options provide a direct method to ensure the right medication is administered.
Question 2 of 5
A nurse is caring for a client who has a new prescription for mirtazapine. Which of the following medications should the nurse identify as a contraindication to the client's new prescription?
Correct Answer: C
Rationale: The correct answer is C: Linezolid. Linezolid is a monoamine oxidase inhibitor (MAOI), and concurrent use with mirtazapine, which is a serotonin modulator, can lead to serotonin syndrome due to excessive serotonin accumulation. Hydroxyzine (
A) is an antihistamine, Clozapine (
B) is an antipsychotic, and Nortriptyline (
D) is a tricyclic antidepressant, none of which are contraindicated with mirtazapine.
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: C
Rationale: The correct answer is C: Hypotension. In septic shock, the client experiences severe hypotension due to decreased blood flow to vital organs. Dopamine is a vasopressor used to increase blood pressure.
Therefore, if the nurse observes persistent hypotension, it indicates that the current dose of dopamine is not effectively raising blood pressure and should be increased. Extravasation (
A), headache (
B), and chest pain (
D) are not direct indications for adjusting the dopamine infusion rate in this scenario.
Question 4 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: C
Rationale: The correct answer is C: Pruritus. Pruritus, or itching, is a common symptom of an allergic reaction to medications like cefaclor. It is caused by the release of histamine in response to the allergen. Hematuria (
A) is blood in the urine, not typically associated with allergic reactions. Tremor (
B) and slurred speech (
D) are neurological symptoms, not typical of allergic reactions.
Question 5 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: C
Rationale: The correct answer is C: Decreased nausea. Ondansetron is an antiemetic medication used to prevent nausea and vomiting. A decrease in nausea indicates the medication is effective in managing the client's symptoms. Increased urinary output (choice
A) is not necessarily related to the effectiveness of ondansetron. Reduced dizziness (choice
B) may be a side effect of the medication but does not directly indicate its effectiveness against nausea. Absence of peripheral neuropathy (choice
D) is not a common effect of ondansetron and is not a reliable indicator of its effectiveness.