ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 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.
Total parenteral nutrition (TPN) solution should be kept refrigerated to maintain stability and prevent bacterial growth. It should be allowed to warm up to room temperature before administration to prevent adverse effects like hypothermia.
A: Obtaining the client's weight three times a week is important for monitoring fluid status but not directly related to administering TPN.
B: Checking the client's WBC count daily is not necessary for administering TPN unless clinically indicated for other reasons.
D: Changing the solution every 36 hours is not typically necessary; TPN solution changes are usually done every 24 hours to prevent contamination.
Question 2 of 5
A nurse is assessing a client who received the measles, mumps, and rubella virus vaccine. Which of the following findings indicates an adverse reaction to the vaccination?
Correct Answer: B
Rationale: The correct answer is B: Petechiae. Petechiae are small red or purple spots on the skin caused by bleeding under the skin. This can indicate a potential adverse reaction to the vaccine, such as a bleeding disorder. The other choices, bradycardia, tinnitus, and blurred vision, are not commonly associated with adverse reactions to the measles, mumps, and rubella vaccine. Bradycardia is a slow heart rate, tinnitus is ringing in the ears, and blurred vision may have other causes unrelated to the vaccination.
Therefore, choice B is the most relevant and concerning finding in this scenario.
Question 3 of 5
A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C: Prochlorperazine. This medication is an antiemetic that helps to control severe vomiting. It works by blocking dopamine receptors in the brain, reducing nausea and vomiting. Propafenone (
A) is an antiarrhythmic drug, not indicated for vomiting. Simvastatin (
B) is a statin used for cholesterol management, unrelated to vomiting. Metformin (
D) is an antidiabetic drug, not used for vomiting. In summary, prochlorperazine is the appropriate choice for managing severe vomiting due to its antiemetic properties.
Question 4 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Consulting a drug reference guide is essential to gather information on potential food and medication interactions.
2. Drug reference guides provide comprehensive and up-to-date information on drug interactions.
3. It is a reliable source to ensure the safety and effectiveness of medication administration.
4. This proactive approach demonstrates thorough research and professional responsibility.
Incorrect
Choices:
A: Having the client take the medication on an empty stomach may not always be the appropriate action and could lead to adverse effects.
C: Relying on another nurse's knowledge may not guarantee accurate information on all potential interactions.
D: Checking the client's medical record may provide some information, but a drug reference guide offers more extensive details on interactions.
Question 5 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?
Correct Answer: B
Rationale: The correct answer is B: Calcium. Levothyroxine should be taken on an empty stomach to ensure optimal absorption. Calcium can interfere with the absorption of levothyroxine, so it is recommended to wait at least 4 hours after taking levothyroxine before consuming calcium supplements. Ginkgo biloba, Vitamin C, and Zinc do not significantly interfere with levothyroxine absorption, so there is no need to wait specifically for them. Calcium is the correct choice because of its known interference with levothyroxine absorption.