ATI RN
ATI Pharmacology 2023 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 correct answer is D: A client who has AIDS. Clients with AIDS have compromised immune systems, making them more vulnerable to potential complications from live vaccines like the varicella vaccine. The live varicella vaccine could lead to serious infections in individuals with weakened immune systems.
Incorrect
Choices:
A: An older adult client living in a long-term care facility - Advanced age alone is not a contraindication for varicella vaccine.
B: A young adult who has an allergy to eggs - The varicella vaccine is not contraindicated in individuals with egg allergies.
C: A child who recently received the human papillomavirus vaccine - There is no contraindication for receiving the varicella vaccine after the HPV vaccine.
Question 2 of 5
A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D: Respiratory rate 10/min. A decreased respiratory rate is indicative of respiratory depression, a serious adverse reaction to morphine. Morphine is a central nervous system depressant that can slow down the respiratory drive, leading to hypoventilation and potentially respiratory arrest. In contrast, choices A, B, and C are within normal limits and not specific to morphine adverse effects. A high blood pressure may be seen with pain or anxiety, while a normal temperature and heart rate are not typically affected by morphine.
Therefore, the respiratory rate is the most critical vital sign to monitor for adverse reactions to IV morphine.
Question 3 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 I5 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: A
Rationale:
To calculate the IV infusion rate, first, convert the infusion time to minutes (30 min).
Then, calculate the total volume to be infused (100 mL). Next, determine the total number of drops needed (15 gtt/mL x 100 mL) = 1500 drops. Finally, divide the total drops by the infusion time in minutes (1500 drops / 30 min) = 50 gtt/min. This is why choice A (50) is correct.
Choices B, C, and D are incorrect as they do not match the calculated infusion rate.
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 client receives the medication. By confirming the client's identity with two identifiers, such as name and date of birth, the nurse minimizes the risk of medication errors. Removing the medication from the cabinet (
A) should come after confirming the client's identity. Comparing medication amounts (
C) and documenting administration (
D) are important steps but should follow client identification to prioritize patient safety.
Question 5 of 5
A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Bradycardia. Buspirone, a medication used to treat anxiety, can cause bradycardia as an adverse effect by lowering heart rate. This occurs due to its action on the central nervous system. Hypoglycemia (choice
A), hypothermia (choice
C), and hypokalemia (choice
D) are not typically associated with buspirone use. Bradycardia is the most common cardiovascular side effect of buspirone, making it the correct choice.