ATI RN
ATI RN Pharmacology 2023 Retake 2 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who will receive total parenteral nutrition (TPN) at home. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to weigh themselves daily and record their weight. Daily weight monitoring is crucial to assess fluid status and nutritional status for clients receiving TPN. Weight changes can indicate fluid retention or dehydration. It helps healthcare providers adjust the TPN formula accordingly.
A: Incorrect. Central line dressing changes are typically done every 48 to 72 hours to reduce the risk of infection.
C: Incorrect. TPN containers should be changed every 24 hours due to the risk of bacterial contamination.
D: Incorrect. The rate of TPN infusion should never be adjusted without healthcare provider approval to avoid complications like hyperglycemia or electrolyte imbalances.
Question 2 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's oxygen saturation. This is important because diazepam can cause respiratory depression, leading to decreased oxygen saturation. By monitoring oxygen saturation, the nurse can quickly identify any adverse reactions related to respiratory function. Option A is incorrect because diazepam does not typically cause seizure activity. Option B is not directly related to assessing for adverse reactions to diazepam. Option D is not relevant to monitoring for adverse reactions to sedation. Overall, monitoring oxygen saturation is the most appropriate action to assess for adverse reactions to diazepam in this scenario.
Question 3 of 5
A nurse is planning care for a client who is experiencing opioid toxicity. Which of the following medications should the nurse anticipate administering?
Correct Answer: A
Rationale: The correct answer is A: Naloxone. Naloxone is the antidote for opioid toxicity as it competitively inhibits the binding of opioids at mu, kappa, and delta receptors. This reverses the respiratory depression and CNS depression caused by opioids. Atropine (
B) is used for bradycardia, Midazolam (
C) is a sedative, and Dexamethasone (
D) is a corticosteroid. These medications are not indicated for opioid toxicity.
Question 4 of 5
A nurse is caring for a client whose current bag of total parenteral nutrition (TPN) has finished infusing, and the next bag is not yet available. Which of the following fluids should the nurse prepare to administer?
Correct Answer: B
Rationale: The correct answer is B: Dextrose 10% in water. When TPN is not available, dextrose 10% in water can provide some glucose to prevent hypoglycemia until the next TPN bag is ready. Lactated Ringer's (
A) does not provide glucose and is not suitable for this situation. 0.45% sodium chloride (
C) and 0.9% sodium chloride (
D) are isotonic solutions and do not provide the necessary glucose.
Question 5 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer the medication into the anterolateral or posterolateral abdominal area. Enoxaparin is a type of low molecular weight heparin that is typically administered subcutaneously into the fatty tissue of the abdomen. The anterolateral and posterolateral abdominal areas are recommended sites for subcutaneous injections to ensure proper absorption of the medication. By choosing these areas, the nurse minimizes the risk of injecting the medication into a muscle or a blood vessel, which could lead to complications. It is important to rotate injection sites to prevent tissue damage and ensure consistent absorption. Expelling air bubbles from the syringe (choice
A) is not necessary with prefilled syringes. Holding the skin taut (choice
C) is not required for subcutaneous injections. Massaging the injection site (choice
D) is not recommended as it can increase the risk of bruising or bleeding.