ATI RN
ATI Pharmacology 2023 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 that the right medication is administered to the right client. By using two identifiers, such as the client's name and date of birth, the nurse can double-check and verify the client's identity before giving the medication. This helps prevent medication errors and ensures patient safety.
Choice A is incorrect because asking another nurse to check the medication dosage is related to verifying the right dose, not the right medication.
Choice B is incorrect because verifying a written order with the medication administration record is important but does not specifically ensure the right medication is administered.
Choice D is incorrect because documenting the medication after administration does not prevent errors in medication administration.
Question 2 of 5
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Rationale: Option A is correct because when mixing short-acting insulin with NPH insulin, air should be injected into the NPH insulin vial first to prevent creating a vacuum. This allows for easier withdrawal of the short-acting insulin. Injecting air into the short-acting insulin vial could lead to contamination of the insulin. Option B is incorrect because insulin should be administered within 5-10 minutes of mixing, not 20. Option C is incorrect since the short-acting insulin should be drawn into the syringe first to avoid contamination. Option D is incorrect as using two separate syringes is unnecessary and increases the risk of dosing errors.
Question 3 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: A
Rationale: The correct answer is A: Sildenafil. Nitroglycerin and sildenafil both cause vasodilation and together can lead to severe hypotension. Sildenafil is a phosphodiesterase type 5 inhibitor used for erectile dysfunction. Gemfibrozil is a lipid-lowering agent, Lansoprazole is a proton pump inhibitor, and Diazepam is a benzodiazepine, none of which have significant interactions with nitroglycerin.
Question 4 of 5
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: A
Rationale: The correct answer is A: Nalbuphine. The nurse should clarify this prescription because nalbuphine is an opioid analgesic antagonist. Co-administration with morphine, an opioid agonist, can lead to decreased analgesic effects and potential opioid withdrawal symptoms. Acetaminophen (
B) is a non-opioid analgesic and does not interact significantly with morphine. Ondansetron (
C) is an antiemetic commonly used with opioids to prevent nausea and vomiting. Insulin glargine (
D) is a long-acting insulin used to manage diabetes and does not have a direct interaction with morphine.
Question 5 of 5
A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: Decreased wheezing. Theophylline is a bronchodilator used to treat respiratory conditions like asthma by relaxing the muscles in the airways. When theophylline is effective, it helps to open up the airways, leading to decreased wheezing. This indicates improved airflow and better respiratory function. Increased blood pressure (
A) is not a direct indication of theophylline effectiveness. Decreased urine output (
C) could suggest dehydration or kidney issues, not necessarily related to theophylline. Increased level of consciousness (
D) is a general assessment parameter and not specific to theophylline effectiveness.