ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?
Correct Answer: D
Rationale: The varicella vaccine, a live attenuated vaccine, is contraindicated in clients with AIDS due to severe immunosuppression, risking infection.
Question 2 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: Disposing of the remaining half tablet with another nurse observing ensures proper disposal and adherence to medication administration policies, preventing errors and ensuring safety since the medication has been removed from its original packaging.
Question 3 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: A
Rationale: Nalbuphine is an opioid analgesic similar to morphine. Concurrent use with morphine via a PCA pump can increase the risk of respiratory depression and other opioid-related adverse effects, requiring clarification with the provider for safe pain management.
Question 4 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 50
Rationale: Rate = (100 ml / 30 min) * 15 gtt/ml = 50 gtt/min, ensuring accurate delivery over 30 minutes.
Question 5 of 5
A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?
Correct Answer: C
Rationale: Phenelzine, an MAOI, with tyramine-rich aged cheese can cause a hypertensive crisis due to excessive serotonin.