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: Heart rate is the primary assessment needed before administering propranolol. Propranolol can cause bradycardia (slow heart rate), so it is crucial to check the client's heart rate before administration. If the heart rate is below 60 beats per minute, the medication should be withheld, and the provider should be notified.
Question 2 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: C
Rationale: Glaucoma is a contraindication for atropine. Atropine can increase intraocular pressure, which can worsen glaucoma and potentially lead to vision loss.
Question 3 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: You will receive TPN through a central vein' is correct. TPN is typically administered through a central venous catheter because it is a hypertonic solution that can irritate peripheral veins.
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: A client receives their insulin 1 hour before scheduled is a medication error that requires an incident report. Administering insulin at the wrong time can lead to significant changes in blood glucose levels and potential harm to the client, making it necessary to document the incident and investigate the cause.
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: B
Rationale: Nalbuphine is an opioid agonist-antagonist that can counteract the effects of morphine and precipitate withdrawal symptoms in clients who are opioid-dependent. It should not be used concurrently with morphine, and the nurse should clarify this prescription with the provider.