ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Inject air into the vial to withdraw the short-acting insulin. This step is necessary to prevent creating a vacuum in the vial, which can make it difficult to withdraw the insulin. By injecting air into the vial before withdrawing the short-acting insulin, the nurse ensures smooth and accurate extraction of the medication. Using two separate syringes (choice
A) is unnecessary as long as the nurse follows proper technique. Ensuring NPH insulin is drawn first (choice
B) is not necessary and may lead to errors in dosage. Administering the insulin within 20 minutes (choice
C) is not relevant to the preparation process.
Question 2 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the air bubble remains in the syringe. This is important because enoxaparin is an anticoagulant medication and should be injected without removing the air bubble to ensure the full dose is administered.
Choice A is incorrect as enoxaparin should be injected into the abdomen, not the lateral thigh.
Choice B is incorrect because the skin fold should be held during the injection to ensure proper administration.
Choice D is incorrect as rubbing the site after injection can cause bruising or irritation.
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, which helps to alleviate vomiting. It works by blocking dopamine receptors in the brain, reducing nausea and vomiting. Propafenone (
A) is an antiarrhythmic drug, Metformin (
B) is used for diabetes, and Simvastatin (
D) is a statin for cholesterol. These medications do not treat vomiting. It is important for the nurse to select the appropriate medication to address the client's symptoms effectively.
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 teaching a client who has a new prescription for nitroglycerin sublingual tablets for treating angina. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Place the tablet under the tongue until dissolved. This instruction is correct because nitroglycerin sublingual tablets are meant to be absorbed under the tongue for rapid relief of angina symptoms. Placing the tablet under the tongue allows for quick absorption into the bloodstream.
Choice A is incorrect because taking a tablet every 10 minutes is not recommended and can lead to overdose.
Choice C is incorrect because nitroglycerin tablets should be stored in the original container at room temperature, not in the refrigerator.
Choice D is incorrect because calling 911 after 30 minutes is too long; the patient should seek immediate help if pain persists after 5 minutes of taking a tablet.