ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 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: D
Rationale: The correct answer is D: Heart rate. Propranolol is a beta-blocker that primarily works by reducing heart rate and blood pressure. Assessing the client's heart rate before administering the medication is crucial to prevent potential complications such as bradycardia or heart block. Temperature (
A), respiratory rate (
B), and pain level (
C) are not directly related to the action or potential side effects of propranolol.
Therefore, they are not the priority assessments before administering this medication.
Question 2 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hours after taking levothyroxine before taking which of the following supplements?
Correct Answer: C
Rationale: The correct answer is C: Calcium. Levothyroxine absorption can be affected by calcium, so the client should wait 4 hours after taking levothyroxine before taking calcium supplements to prevent interference with the medication's absorption. Zinc, Vitamin C, and Ginkgo biloba do not significantly affect levothyroxine absorption, so there is no need to wait 4 hours before taking them.
Question 3 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A. Ensure that the air bubble remains in the syringe.
Rationale: Leaving the air bubble in the syringe ensures accurate dosing of enoxaparin. The air bubble acts as a safety measure to prevent any medication loss during injection. Removing the air bubble could lead to underdosing the medication.
Incorrect:
B: Injecting into the lateral thigh is incorrect as enoxaparin is usually administered in the abdomen.
C: Releasing the skin fold before injecting ensures proper needle insertion but is not specific to enoxaparin administration.
D: Rubbing the site after injection can cause bruising and is not recommended.
Question 4 of 5
A nurse accidentally administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D (Check the client's glucose level)
Rationale: Metformin is a medication used to treat diabetes, so it is essential to check the client's glucose level after the accidental administration to monitor for hypoglycemia or hyperglycemia. This action is crucial for the client's safety and to initiate appropriate interventions promptly. Monitoring thyroid function levels (
Choice
A), uric acid level (
Choice
B), or HDL level (
Choice
C) would not directly address the immediate concern of potential glucose level abnormalities resulting from the administration error.
Therefore, checking the client's glucose level is the most appropriate action in this scenario.
Question 5 of 5
A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Keep the solution refrigerated until 1 hr before infusion.
Total parenteral nutrition (TPN) is a sterile solution that should be kept refrigerated to maintain its sterility. It should be taken out of the refrigerator about 1 hour before infusion to allow it to reach room temperature and prevent discomfort to the client. Checking the client's WBC count daily (
B) is not directly related to administering TPN. Changing the solution every 36 hours (
C) is not necessary unless contamination is suspected. Obtaining the client's weight three times a week (
D) is important for monitoring the effectiveness of TPN but not a preparation step.