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: The correct action for the nurse to take when preparing to administer methotrexate in oral tablet form is to apply gloves (
Choice
D). This is because methotrexate is a cytotoxic medication that can be harmful if it comes into contact with the skin. Wearing gloves helps to protect the nurse from potential exposure to the medication. Donning a protective gown (
Choice
A) is not necessary for oral administration. Handling in an area with controlled ventilation (
Choice
B) is more applicable to handling hazardous substances in liquid or powder form. Wearing an N95 mask (
Choice
C) is not necessary for oral administration of methotrexate, as it is not an airborne hazard.
Question 2 of 5
A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Check the client's glucose level. Metformin is a medication used to treat diabetes by lowering blood sugar levels. Administering it instead of metoprolol, a beta-blocker, can lead to hypoglycemia. Checking the client's glucose level is crucial to monitor for and address any potential hypoglycemia. Obtaining the client's HDL level (
B), monitoring thyroid function levels (
C), or collecting uric acid level (
D) are not relevant in this situation and would not provide immediate information on the client's condition.
Question 3 of 5
A nurse is caring for a client who is receiving IV 0.9% sodium chloride for the treatment of hypovolemia. Which of the following findings should the nurse identify as an indication the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure 124/74 mm Hg. This finding indicates that the IV 0.9% sodium chloride treatment for hypovolemia is effective because a normal blood pressure range suggests adequate fluid volume and perfusion. A: Heart rate 104/min may indicate ongoing compensatory mechanisms due to hypovolemia. B: 2+ pitting edema in lower extremities suggests fluid overload rather than effective treatment. D: Increased hematocrit could indicate hemoconcentration due to dehydration, not necessarily effective treatment.
Question 4 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: A
Rationale: The correct answer is A: Heart rate. Propranolol is a beta-blocker that primarily affects the heart by reducing heart rate and blood pressure.
Therefore, assessing the client's heart rate before administering the medication is crucial to determine if it is within the safe range. Monitoring the heart rate helps prevent potential complications such as bradycardia or heart block.
Choices B, C, and D are incorrect because propranolol does not directly impact respiratory rate, pain level, or temperature. While these assessments may be important for overall client care, they are not specifically related to the administration of propranolol. It is essential for the nurse to focus on assessing parameters directly affected by the medication to ensure safe and effective administration.
Question 5 of 5
A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with tyramine in aged cheese, leading to a hypertensive crisis. Tyramine can cause the release of norepinephrine, resulting in increased blood pressure. A is incorrect because somnolence is not typically associated with this interaction. B is incorrect as bradycardia is not a common manifestation. C is incorrect as diarrhea is not a typical symptom of this interaction.
Therefore, the correct answer is D due to the potential for a dangerous hypertensive crisis.