ATI RN
ATI RN Pharmacology 2023 V 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: A
Rationale: The correct answer is A: Reason. The nurse should clarify the reason for giving ondansetron to ensure the appropriateness of the medication for the client's condition. Clarifying the reason helps prevent medication errors and ensures safe and effective treatment. Routes, doses, and frequencies are standard parts of a prescription that the nurse should be familiar with and can verify without additional clarification. The reason for prescribing the medication is crucial for the nurse to understand the client's condition and the intended therapeutic effect of the medication. Clarifying the reason also promotes effective communication between the healthcare provider and the nurse.
Question 2 of 5
A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?
Correct Answer: B
Rationale: The correct answer is B: Elevated hematocrit level. In fluid volume deficit, there is a decrease in blood volume, leading to a concentration of red blood cells, resulting in an elevated hematocrit level. Weight gain (
A) is indicative of fluid retention, not deficit. Distended neck veins (
C) are a sign of fluid overload, not deficit. Shortness of breath (
D) is a symptom of heart failure but not specific to fluid volume status.
Question 3 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: D
Rationale: The correct answer is D. An incident report is needed when there is a deviation from the standard of care that could potentially harm the client. Administering insulin 1 hour before scheduled can lead to hypoglycemia, which is a serious risk.
Choice A is not ideal but does not pose immediate harm.
Choice B is a common side effect of medications.
Choice C, while serious, may be a known condition of the client.
Question 4 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: You will receive TPN through a central vein. This is correct because TPN is a form of nutrition that is delivered directly into the bloodstream through a central vein, typically the subclavian vein. This method allows for the nutrients to be quickly absorbed and utilized by the body.
Explanation of why the other choices are incorrect:
A: You require TPN because your glucose is too high - This is incorrect as TPN is not typically used to address high glucose levels.
B: You will receive TPN for the next 6 months - This is incorrect because the duration of TPN therapy varies based on the individual's condition and needs.
C: You require TPN because you have a low platelet count - This is incorrect as TPN is not specifically used to address a low platelet count.
In summary, choice D is the correct answer as it pertains to the essential method of administering TPN, while the other choices are incorrect as they do
Question 5 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: A
Rationale: The correct answer is A: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is crucial to ensure accurate dosing and prevent medication errors, especially for older adults who may have visual impairments. Wearing reading glasses can help the client see the markings on the syringe clearly, ensuring they draw up the correct dose.
Choices B, C, and D are incorrect:
B: Taking an additional dose of insulin glargine prior to exercise is not appropriate without proper guidance from a healthcare provider as it can lead to hypoglycemia.
C: Administering insulin glargine before each meal is not correct as insulin glargine is a long-acting insulin and is usually administered once daily at the same time each day.
D: Using the deltoid muscle as an injection site is not recommended for insulin glargine as it is typically injected subcutaneously into the abdomen, thigh, or upper arm for consistent absorption.