ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 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: B
Rationale: The correct answer is B: Consult a drug reference guide for possible interactions. This is the best action because drug reference guides provide comprehensive information on potential interactions between medications and food. By consulting a reliable drug reference guide, the nurse can ensure the safety and effectiveness of the medication administration.
A: Having the client take the medication on an empty stomach may not necessarily prevent interactions.
C: Asking another nurse may not be reliable as the other nurse might not have the necessary information.
D: Checking the client's medical record is important but may not provide detailed information on all potential interactions like a drug reference guide.
Question 2 of 5
A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?
Correct Answer: B
Rationale: The correct answer is B. Compiling a list of all medications the client is currently taking should be completed first in medication reconciliation to ensure accuracy. This step allows the nurse to have a comprehensive understanding of the client's current medication regimen. Documenting and sending the updated list to the pharmacy (
A) should come after compiling the list to ensure accuracy. Comparing preadmission medications to current medications (
C) and addressing discrepancies (
D) are important steps but should follow compiling the current medication list.
Question 3 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Identify the client using two identifiers. This step is crucial for patient safety and medication administration accuracy. By confirming the client's identity using two identifiers (name, date of birth, or medical record number), the nurse ensures the right medication is given to the right patient. This initial verification step helps prevent medication errors and ensures the client's safety. Removing the medication from the cabinet, documenting administration, and comparing medication amounts are important steps but should follow the crucial step of confirming the client's identity to minimize the risk of error.
Question 4 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Correct Answer: D
Rationale:
Correct Answer: D. Grasp skin between thumb and forefinger throughout the injection.
Rationale: By grasping the skin between thumb and forefinger throughout the injection, the nurse ensures proper technique to create a taut surface for the needle insertion. This helps to minimize bleeding post-injection by reducing the risk of hitting a blood vessel.
Summary of Incorrect
Choices:
A: Aspirating the syringe prior to injecting heparin is not necessary for subcutaneous injections and may increase the risk of tissue trauma.
B: The Z-track method is used for intramuscular injections, not subcutaneous injections like heparin.
C: Massaging the site post-injection can increase the risk of bleeding by dispersing the medication.
Question 5 of 5
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?
Correct Answer: D
Rationale: The correct answer is D because a client with AIDS has a weakened immune system, making them more susceptible to adverse reactions from live vaccines like the varicella vaccine. This population is at higher risk of developing severe complications from the vaccine.
A: A young adult with an egg allergy is not a contraindication for the varicella vaccine since the vaccine is grown in a cell culture, not eggs.
B: An older adult in a long-term care facility does not have a contraindication unless there are specific health conditions present.
C: A child who recently received the human papillomavirus vaccine is not a contraindication for varicella vaccine.
In summary, choice D is correct due to the increased risk of adverse reactions in a client with AIDS, while the other choices do not present contraindications.