ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medications to a client and notices the wrong medication was administered on the previous shift. Which of the following actions should the nurse take first after obtaining vital signs?
Correct Answer: D
Rationale: The correct action is to inform the client's provider first because it is crucial to address the error promptly to ensure the client's safety. By informing the provider, the nurse can obtain guidance on how to proceed with the situation, such as monitoring the client for adverse effects or administering any necessary interventions. This step prioritizes the client's well-being and ensures that appropriate measures are taken promptly. Completing an incident report, documenting findings, and notifying the nursing manager can be important follow-up steps, but they should come after informing the provider to address the immediate concern.
Question 2 of 5
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
Correct Answer: B
Rationale: The correct answer is B: WBC count. Filgrastim is a medication that stimulates the production of white blood cells (WBCs). Monitoring the WBC count is essential to evaluate the effectiveness of the treatment as an increase in WBC count indicates the medication is working to boost the immune system.
Incorrect options:
A: INR (International Normalized Ratio) is used to monitor the effectiveness of anticoagulant therapy, not filgrastim.
C: Potassium level monitoring is important for clients taking certain medications that can affect potassium levels, but not specifically for evaluating the effectiveness of filgrastim.
D: BUN (Blood Urea Nitrogen) is a measure of kidney function and hydration status, not related to evaluating the effectiveness of filgrastim.
Question 3 of 5
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Elevate the extremity. Elevating the extremity helps to reduce swelling at the infiltration site by promoting fluid drainage and decreasing tissue damage. It aids in preventing further infiltration and promotes proper circulation. Slowing the infusion rate (
A) may not be sufficient to address the existing infiltration. Flushing the IV catheter (
B) may worsen the infiltration by pushing more fluid into the tissue. Applying pressure (
C) may not be effective and could cause discomfort. In summary, elevating the extremity is the most appropriate action to manage infiltration.
Question 4 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: The correct answer is C because administering insulin 1 hour before scheduled is a medication error that could potentially harm the client. Incident reports are necessary to document any deviations from standard procedures to ensure proper investigation and prevention of future errors.
Choices A, B, and D are situations that require immediate action but do not necessarily warrant an incident report as they are within the scope of normal nursing care.
Question 5 of 5
A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is important because insulin dosages need to be precise, and using reading glasses ensures accurate measurement, reducing the risk of under- or overdosing. Using the deltoid muscle as an injection site (
A) is not appropriate for insulin glargine, as it should be injected into the subcutaneous tissue of the abdomen, thigh, or upper arm. Administering insulin glargine before each meal (
B) is incorrect as it is a long-acting insulin usually given once daily at the same time. Taking an additional dose prior to exercise (
C) is not necessary and can lead to hypoglycemia.