ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Gloves prevent skin contact with methotrexate, a hazardous drug, while gown, ventilation, and N95 are unnecessary for oral tablets.
Question 2 of 5
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: IV dextrose quickly corrects hypoglycemia in a client on parenteral nutrition.
Question 3 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: C
Rationale: Injecting air into the short-acting insulin vial first prevents contamination of the clear insulin with cloudy NPH, ensuring accurate dosing. NPH should be drawn second, timing isn't strictly 20 minutes, and one syringe is sufficient.
Extract:
Nurses' Notes
Laboratory Results
Provider Prescriptions
3 days ago:
Client presents with reports of intermittent spotting between menstrual cycles. Pelvic examination and swabs for sexually transmitted infections obtained by the provider. Medications include a combined oral contraceptive.
Today:
Client returns to office to discuss results of laboratory test Education provided on newly obtained prescriptions
Question 4 of 5
Select the 2 statements the nurse should include in the teaching.
| You should avoid the sun while taking this medication. |
| You should use an alternate form of birth control while taking this medication. |
| It is common to experience headache or blurred vision while taking this medication. |
| This medication may cause constipation. |
| You should take this medication with dairy products. |
Correct Answer: A,B
Rationale: Doxycycline increases sun sensitivity, risking sunburn, and reduces oral contraceptive effectiveness, necessitating alternate birth control. Headaches and blurred vision are less common, constipation isn't typical, and dairy interferes with absorption.
Extract:
Question 5 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: D
Rationale: Nalbuphine, an opioid agonist-antagonist, can precipitate withdrawal in morphine-dependent patients, unlike insulin, acetaminophen, or ondansetron.