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 because inserting the needle at least 5 cm from the umbilicus helps prevent injury to the underlying structures. It ensures proper administration of the medication into the subcutaneous tissue, reducing the risk of complications. Massaging the site after administering the medication (choice
A) is incorrect as it can cause bruising and discomfort. Using a 21-gauge needle (choice
B) is incorrect because a smaller gauge needle is typically recommended for subcutaneous injections. Aspirating before injecting the medication (choice
C) is unnecessary for subcutaneous injections as there are no major blood vessels in the subcutaneous tissue.
Question 2 of 5
Which of the following statements should the nurse include when teaching the client about the prescribed medication?
Correct Answer: A
Rationale: The correct answer is A because it provides important information about managing potential side effects (nausea) by taking the medication with a meal. This helps to enhance medication adherence and reduce discomfort.
Choice B is incorrect as vivid nightmares are not a common side effect of the medication.
Choice C is incorrect as changes in urine color are not typically associated with this medication.
Choice D is incorrect as high protein meals do not usually impact the effectiveness of this medication.
Choice E is incorrect as an increase in involuntary movements is not a common side effect of this medication.
Question 3 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 provider's order by specifying the medication (morphine), dose (6 mg), route (IV push), frequency (every 3 hours), and indication (acute pain). Each element is essential for safe administration and documentation.
Option B (MSO) and Option C (MS) are incorrect because they do not specify morphine. Option D includes unnecessary decimal points, which could lead to dosing errors.
In summary, option A is the correct transcription as it accurately captures all the necessary details of the provider's order for safe medication administration.
Question 4 of 5
A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?
Correct Answer: A
Rationale: The correct answer is A: ePTT 90 seconds. Heparin is a medication used to prevent blood clots. The nurse administering heparin should monitor the client's ePTT (activated partial thromboplastin time) values, with the therapeutic range typically around 60-80 seconds. A value of 90 seconds indicates the client may be at risk for bleeding due to excessive anticoagulation. This warrants an incident report to document the deviation from the expected therapeutic range and initiate appropriate interventions.
Choices B, C, and D are within normal ranges and do not directly relate to heparin administration, so they do not warrant an incident report.
Question 5 of 5
A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include?
Correct Answer: C
Rationale:
Rationale: The correct answer is C: You should take this medication before meals. Omeprazole is a proton pump inhibitor that works best when taken before meals to inhibit gastric acid secretion. Taking it before meals maximizes its effectiveness.
Choice A is incorrect because omeprazole can be taken with antacids if necessary.
Choice B is incorrect as there is no need to reduce calcium intake while taking omeprazole.
Choice D is incorrect because taking a second dose without consulting a healthcare provider can lead to an overdose.