ATI RN
ATI RN Pharmacology 2023 Retake 2 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: C
Rationale: The correct answer is C: Heart rate. Propranolol is a beta-blocker that primarily works by decreasing heart rate and blood pressure.
Therefore, it is essential for the nurse to assess the client's heart rate before administering the medication to ensure it is within the safe range. Monitoring heart rate helps prevent potential complications like bradycardia or heart block. Assessing pain level (
A), respiratory rate (
B), and temperature (
D) may be important for overall patient assessment but are not directly related to propranolol administration.
Question 2 of 5
A nurse is teaching a client who has a new prescription for nitroglycerin sublingual tablets for treating angina. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Place the tablet under the tongue until dissolved. Nitroglycerin sublingual tablets are administered by placing them under the tongue to allow for rapid absorption into the bloodstream. This ensures quick relief of angina symptoms. Choosing option A is incorrect as calling 911 if pain persists should be done after taking three tablets 5 minutes apart. Option C is incorrect because nitroglycerin tablets should be stored in their original container at room temperature. Option D is incorrect because the client should take a maximum of three tablets every 5 minutes for chest pain relief.
Question 3 of 5
A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?
Correct Answer: C
Rationale: The correct answer is C: Sildenafil. Nitroglycerin and sildenafil both cause vasodilation, leading to a significant drop in blood pressure when used together, which can result in severe hypotension and cardiovascular collapse. Lansoprazole (
A) is a proton pump inhibitor, Diazepam (
B) is a benzodiazepine, and Gemfibrozil (
D) is a lipid-lowering medication, none of which have significant interactions with nitroglycerin.
Question 4 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Identify the client using two identifiers. This is the first step the nurse should take to ensure the right medication is given to the right patient, as per medication administration safety protocols. By verifying the client's identity using two identifiers, such as name and date of birth, the nurse can prevent medication errors and ensure patient safety.
A: Documenting the administration of the medication would come after ensuring the correct patient receives the medication.
C: Removing the medication from the dispensing cabinet is important but should follow client identification.
D: Comparing the medication amount to the inventory record is important for restocking purposes but is not the first step in safe medication administration.
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: C
Rationale: The correct answer is C: Keep the solution refrigerated until 1 hr before infusion. This is important to prevent bacterial growth in the TPN solution. Refrigeration helps maintain the sterility and integrity of the solution. Changing the solution every 36 hours (
A) is not necessary unless contamination is suspected. Obtaining the client's weight three times a week (
B) is important for monitoring fluid status but not directly related to TPN administration. Checking the client's WBC count daily (
D) is not specifically related to TPN administration and may not be necessary unless the client develops signs of infection.