ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Insert the needle at least 5 cm (2 in) from the umbilicus. This is crucial to prevent any potential harm to the abdominal organs located around the umbilicus. Inserting the needle too close could lead to injury or bleeding. Massaging the site after administering (
A) is not recommended as it can cause bruising or discomfort. Using a 21-gauge needle (
B) is not specified for subcutaneous heparin injections. Aspirating before injecting (
C) is not necessary for subcutaneous injections, as the risk of hitting a blood vessel is low.
Question 2 of 5
A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction?
Correct Answer: C
Rationale: The correct answer is C: Laryngeal edema. Laryngeal edema is a severe allergic reaction symptom that can lead to airway obstruction and respiratory distress. This is a life-threatening condition that requires immediate intervention. Nausea (
A) and insomnia (
D) are common side effects of amoxicillin but not indicative of an allergic reaction. Cardiac dysrhythmia (
B) is not a typical allergic reaction symptom to amoxicillin.
Question 3 of 5
A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following?
Correct Answer: C
Rationale: The correct answer is C: A client who is transferal to a stepdown unit. Medication reconciliation is crucial during transitions of care to ensure accuracy and safety. When a client is transferred to a stepdown unit, their care level changes, necessitating a review of medications to prevent errors.
Choice A is not directly related to medication reconciliation.
Choice B involves a procedure, not a care transition requiring medication review.
Choice D pertains to therapy but does not involve a care transition.
Question 4 of 5
A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?
Correct Answer: D
Rationale: The correct answer is D: LDL 120 mg/dL. Atorvastatin is a medication used to lower LDL cholesterol levels. A decrease in LDL levels indicates the effectiveness of the treatment in reducing the risk of cardiovascular events. BUN, blood glucose, and urine specific gravity are not directly related to the effectiveness of atorvastatin in lowering cholesterol levels. BUN reflects kidney function, blood glucose monitors glucose levels, and urine specific gravity indicates hydration status.
Therefore, D is the best indicator of treatment effectiveness.
Question 5 of 5
A nurse is receiving a medication prescription by telephone from a provider. The provider states, 'Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.' How should the nurse transcribe the prescription in the client's medical record?
Correct Answer: A
Rationale: The correct answer is A: Morphine 6 mg IV push every 3 hr PRN acute pain. This transcription accurately reflects the medication (morphine), dose (6 mg), route (IV push), frequency (every 3 hours), and indication (acute pain). "PRN" indicates as needed.
Choice B is incorrect because "MSO" is not morphine.
Choice C is incorrect because "MS" is not specific to morphine.
Choice D is incorrect because adding a decimal point (6.0 mg) is unnecessary and can lead to dosing errors.