ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to transcribe a prescription for a client that reads 'ondansetron 8 mg by mouth every 12 hr PRN.' Which of the following parts of the prescription should the nurse clarify with the provider?
Correct Answer: D
Rationale: The correct answer is D: Reason. The nurse should clarify the reason for prescribing ondansetron to ensure understanding and appropriate administration. Frequency (
A) refers to how often the medication should be taken, route (
B) specifies how the medication should be administered, and dose (
C) indicates the amount of medication to give. Since the prescription already states the dose, route, and frequency, the reason for taking the medication needs clarification. It is crucial for the nurse to understand why the medication is prescribed to ensure it aligns with the client's needs and prevents errors.
Question 2 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, a vasodilator used to lower blood pressure, monitoring blood pressure is crucial. The goal is to maintain a specific target blood pressure range to prevent hypotension or hypertension. Adjusting the infusion rate based on blood pressure ensures the client's hemodynamic stability. Monitoring stroke volume, cardiac output, or urine output is not specific to the effects of nitroprusside. Blood pressure directly reflects the drug's vasodilatory effect, making it the most appropriate parameter to guide titration.
Question 3 of 5
A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wear gloves when handling the medication. This is crucial to prevent direct contact with the hazardous IV medication, reducing the risk of exposure. Protective footwear (
A) is not necessary for IV administration. An N95 mask (
B) is used for respiratory protection, which is not required for handling IV medications. Administering in a negative pressure room (
C) is more relevant for airborne precautions, not for handling IV medications.
Question 4 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: The correct answer is C: Glaucoma. Atropine is contraindicated in clients with glaucoma because it can increase intraocular pressure, worsening the condition. Bronchospasms (
A), diarrhea (
B), and diverticulitis (
D) are not contraindications for atropine administration. Bronchospasms can actually be treated with atropine, and diarrhea and diverticulitis are not directly affected by atropine.
Question 5 of 5
A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Exercise caution when changing positions. This is important to include in the teaching because captopril, an ACE inhibitor, can cause orthostatic hypotension, leading to dizziness or lightheadedness when changing positions. This caution helps prevent falls and other related complications.
Other choices are incorrect:
B: Increasing sodium intake is not recommended as it can exacerbate hypertension, which captopril is prescribed to treat.
C: Taking a daily potassium supplement is not necessary unless specifically prescribed by the healthcare provider, as captopril can already affect potassium levels.
D: Monitoring pulse rate is not directly related to captopril use; blood pressure monitoring is more relevant for this medication.