ATI RN
ATI RN Pharmacology 2023 II 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: A
Rationale: Keep the solution refrigerated until 1 hr before infusion is correct because total parenteral nutrition (TPN) solutions should be kept refrigerated to maintain their stability and prevent bacterial growth. The solution should be removed from the refrigerator about one hour before infusion to allow it to reach room temperature.
Question 2 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: B
Rationale: Nalbuphine is an opioid agonist-antagonist that can counteract the effects of morphine and precipitate withdrawal symptoms in clients who are opioid-dependent. It should not be used concurrently with morphine, and the nurse should clarify this prescription with the provider.
Question 3 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: C
Rationale: Glaucoma is a contraindication for atropine. Atropine can increase intraocular pressure, which can worsen glaucoma and potentially lead to vision loss.
Question 4 of 5
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Administer IV dextrose is the appropriate action to treat hypoglycemia. IV dextrose provides a rapid source of glucose to raise blood sugar levels and prevent complications associated with hypoglycemia.
Question 5 of 5
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
Correct Answer: D
Rationale: Oxycodone causes central nervous system depression is the correct explanation. Oxycodone, like other opioids, depresses the central nervous system, which can lead to respiratory depression by reducing the brainstem's responsiveness to carbon dioxide levels in the blood.