ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. When titrating nitroprusside infusion, blood pressure is the most critical assessment parameter as nitroprusside is a vasodilator that directly affects blood pressure. Monitoring blood pressure closely allows for immediate adjustments to maintain the desired therapeutic effect without causing hypotension or other adverse effects. Stroke volume, cardiac output, and urine output are important assessments in general cardiac care but are not specific to titrating nitroprusside infusion. Monitoring these parameters alone may not provide sufficient information to adjust the infusion accurately.
Question 2 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Identify the client using two identifiers. This is the first step the nurse should take to ensure the right medication is given to the right patient, following the principles of medication safety. By verifying the client's identity using two identifiers (such as name and date of birth), the nurse can prevent medication errors and ensure patient safety. Removing the medication (
A) is important but should only be done after confirming the patient's identity. Comparing the medication amount to the inventory record (
C) is a later step in the medication administration process. Documenting the administration (
D) is essential but should come after verifying the patient's identity.
Question 3 of 5
A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?
Correct Answer: C
Rationale: The correct answer is C: Decreased ascites. Spironolactone, a potassium-sparing diuretic, is commonly used in cirrhotic patients to decrease fluid retention and ascites. As the medication helps to increase urine output and reduce fluid accumulation in the abdomen, a decrease in ascites would indicate that the client is responding positively to the treatment. Increased energy (choice
A) and increased appetite (choice
D) are not direct indicators of the medication's effectiveness in treating cirrhotic ascites. Decreased jaundice (choice
B) may improve with liver function but is not a specific response to spironolactone.
Question 4 of 5
A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale:
1. Safety: Wearing reading glasses ensures accurate dosage measurement, crucial for insulin administration.
2. Precision: Insulin dosage is precise; reading glasses help ensure correct measurement.
3. Client-centered: Older adults may have visual impairments; wearing glasses promotes self-care.
4. Education: Teaches importance of accuracy in insulin administration to prevent complications.
Summary:
A: Incorrect - Insulin glargine is a long-acting insulin and is not necessarily administered before each meal.
B: Incorrect - Deltoid muscle is not a recommended site for insulin injections due to variable absorption rates.
C: Incorrect - Additional doses of insulin glargine should be prescribed by a healthcare provider, not based on exercise alone.
Question 5 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: The correct answer is B: Consult a drug reference guide for possible interactions. This is the best course of action because drug reference guides provide comprehensive information on potential interactions between medications and food. They are reliable sources for healthcare professionals to ensure safe administration.
Choice A: Having the client take the medication on an empty stomach may not always prevent interactions and could potentially lead to adverse effects.
Choice C: Relying solely on another nurse's knowledge may not be sufficient, as medication interactions can be complex and require specific expertise.
Choice D: Checking the client's medical record is important but may not provide real-time information on potential interactions. It is best to consult a drug reference guide for the most up-to-date information.