ATI RN
ATI RN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 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: A
Rationale:
Correct
Answer: A
Rationale: Grasping the skin between the thumb and forefinger creates tension, which helps prevent bleeding by stabilizing the tissue during the injection. This technique minimizes the risk of inadvertently nicking a blood vessel, reducing the likelihood of bleeding at the injection site. It also ensures accurate delivery of the medication into the subcutaneous tissue.
Incorrect
Choices:
B: Aspirating the syringe is not necessary for subcutaneous injections as it is done for intramuscular injections to check for blood return.
C: The Z-track method is used for intramuscular injections to prevent medication leakage, not for subcutaneous injections.
D: Massaging the site can increase the risk of bleeding and should be avoided following a subcutaneous injection.
Question 2 of 5
A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Bradycardia. Amiodarone is an antiarrhythmic medication that can cause bradycardia as an adverse effect due to its impact on the heart's electrical activity. The nurse should anticipate this finding because amiodarone can slow down the heart rate. Hypertension (
A) is not a common adverse effect of amiodarone. Bradypnea (
B) refers to slow breathing rate, which is not typically associated with amiodarone use. Fever (
C) is also not a common adverse effect of the medication. In summary, bradycardia is the most likely adverse effect of amiodarone, making it the correct choice compared to the other options.
Question 3 of 5
A nurse is reviewing a client's medication administration record and finds digoxin was administered to the client with a heart rate of 58/min. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Examine the client's vital signs and condition first. This is the priority as digoxin can cause bradycardia, and a heart rate of 58/min is below the normal range. The nurse must assess the client's current condition for signs of digoxin toxicity, such as nausea, vomiting, or visual disturbances. This immediate assessment will help determine the client's need for further interventions or medical attention.
Other choices are incorrect:
A: Notifying the nurse manager can be done later after ensuring the client's safety.
B: Filing an incident report is important but should not be the immediate action.
C: Notifying the provider is necessary but assessing the client's condition is the priority.
In summary, examining the client first ensures immediate intervention for potential digoxin toxicity, while the other options can be addressed subsequently.
Question 4 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Dispose of the remaining medication while another nurse observes. This is appropriate because hydromorphone is a controlled substance, and any remaining medication should be properly disposed of to prevent misuse or theft. Another nurse should observe the disposal process to ensure accountability and adherence to protocols.
Incorrect choices:
A: Returning the medication to the pharmacy is not appropriate as it can lead to potential errors or misuse.
C: Storing the remaining half of the pill in the automated system can lead to confusion and potential errors in medication administration.
D: Placing the remaining half of the pill in the unit-dose package is incorrect as the medication should be properly disposed of rather than saved for future use.
Question 5 of 5
A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?
Correct Answer: B
Rationale: The correct answer is B: Decreased ascites. Spironolactone is a potassium-sparing diuretic commonly used in liver cirrhosis to reduce fluid retention and ascites. A decrease in ascites indicates that the medication is effectively reducing fluid accumulation in the abdomen, a key goal in managing cirrhosis. Increased energy (choice
A) and increased appetite (choice
C) are not directly related to the medication's action on fluid retention. Decreased jaundice (choice
D) may indicate improved liver function but is not a specific response to spironolactone in treating ascites.