ATI RN
ATI RN Pharmacology 2023 V 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: B
Rationale: The correct answer is B: Keep the solution refrigerated until 1 hr before infusion.
Total parenteral nutrition solutions should be stored in the refrigerator to maintain stability and prevent bacterial growth. By keeping the solution refrigerated until 1 hour before infusion, the nurse ensures that the solution remains safe for administration.
Incorrect choices:
A: Obtaining the client's weight three times a week is unrelated to the administration of total parenteral nutrition.
C: Changing the solution every 36 hours is not necessary and may lead to unnecessary waste.
D: Checking the client's WBC count daily is not directly related to the administration of total parenteral nutrition.
Question 2 of 5
A nurse is caring for a client who has a new prescription for mirtazapine. Which of the following medications should the nurse identify as a contraindication to the client's new prescription?
Correct Answer: C
Rationale: The correct answer is C: Linezolid. Linezolid is a monoamine oxidase inhibitor (MAOI), and concurrent use with mirtazapine, which is a serotonin modulator, can lead to serotonin syndrome due to excessive serotonin accumulation. Hydroxyzine (
A) is an antihistamine, Clozapine (
B) is an antipsychotic, and Nortriptyline (
D) is a tricyclic antidepressant, none of which are contraindicated with mirtazapine.
Question 3 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: B
Rationale: The correct answer is B: Keep the solution refrigerated until 1 hr before infusion.
Total parenteral nutrition solutions should be stored in the refrigerator to maintain stability and prevent bacterial growth. By keeping the solution refrigerated until 1 hour before infusion, the nurse ensures that the solution remains safe for administration.
Incorrect choices:
A: Obtaining the client's weight three times a week is unrelated to the administration of total parenteral nutrition.
C: Changing the solution every 36 hours is not necessary and may lead to unnecessary waste.
D: Checking the client's WBC count daily is not directly related to the administration of total parenteral nutrition.
Question 4 of 5
A nurse is caring for a client who is to receive a corticosteroid injection. The client states, 'I am not taking that injection today.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I will inform your provider about your decision." This response is appropriate because it respects the client's autonomy and decision-making capacity. By informing the provider, the nurse ensures that the healthcare team is aware of the client's refusal, enabling further discussion and exploration of alternatives.
Choice A may come off as confrontational and does not respect the client's decision.
Choice B disregards the client's autonomy and can damage the nurse-client relationship.
Choice C acknowledges the client's feelings but does not address the refusal directly.
Question 5 of 5
A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "We will discuss other treatment options with your provider." This response is appropriate because it acknowledges the client's fear of needles and shows a willingness to explore alternative treatment options. It promotes open communication and collaboration between the nurse, client, and healthcare provider.
Option A is incorrect because it uses a threatening approach, which may further discourage the client from receiving treatment. Option B is incorrect as it dismisses the client's fear as insignificant and may come across as insensitive. Option D is incorrect as it presents a false ultimatum and does not address the client's concerns.