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: The correct answer is A: Keep the solution refrigerated until 1 hr before infusion.
Total parenteral nutrition (TPN) is a sterile solution that should be kept refrigerated to maintain its sterility. It should be taken out of the refrigerator about 1 hour before infusion to allow it to reach room temperature and prevent discomfort to the client. Checking the client's WBC count daily (
B) is not directly related to administering TPN. Changing the solution every 36 hours (
C) is not necessary unless contamination is suspected. Obtaining the client's weight three times a week (
D) is important for monitoring the effectiveness of TPN but not a preparation step.
Question 2 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: D
Rationale: The correct answer is D: Pruritus. Pruritus is a common symptom of an allergic reaction, typically presenting as itching of the skin. Allergic reactions to medications like cefaclor can manifest in various ways, but pruritus is a classic sign. Hematuria (
A) is blood in urine, not typically associated with allergic reactions. Slurred speech (
B) and tremor (
C) are more indicative of neurological issues, not allergies.
Therefore, pruritus is the most relevant finding in this scenario.
Question 3 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following prescribed medications should the nurse anticipate administering to the client?
Correct Answer: C
Rationale: The correct answer is C: Lorazepam. Lorazepam is a benzodiazepine used to manage alcohol withdrawal symptoms like anxiety, agitation, and seizures. It acts on the GABA receptors to produce a calming effect. Bupropion (
A) is used for smoking cessation, Disulfiram (
B) is used to deter alcohol consumption by causing unpleasant effects, and Methadone (
D) is used for opioid withdrawal.
Question 4 of 5
A nurse administers 2 mg of morphine out of a vial containing 4 mg. Which of the following actions should the nurse take with the remaining medication in the vial?
Correct Answer: D
Rationale: The correct answer is D: Dispose of the medication as waste in an approved receptacle. This is because once a vial has been accessed, it is considered contaminated and should not be stored for future use. Option A is incorrect as storing the medication for the client's next dose is not safe practice due to the risk of contamination. Option B is incorrect as the remaining medication should be disposed of properly, not simply discarded in a sharps container. Option C is incorrect as returning the medication to the pharmacy is not appropriate once it has been accessed. Proper disposal in an approved receptacle ensures safety and prevents potential harm from misuse.
Question 5 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A. Assessing breath sounds first is crucial because opioid toxicity can lead to respiratory depression, which is life-threatening. By assessing breath sounds, the nurse can determine if the client is effectively ventilating after naloxone administration. Blood pressure and heart rate may be affected by naloxone, but respiratory status takes precedence. Pain level assessment is important but not the priority in this situation.