ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?
Correct Answer: B
Rationale: The correct answer is B. Compiling a list of all medications the client is currently taking should be completed first in medication reconciliation to ensure accuracy. This step allows the nurse to have a comprehensive understanding of the client's current medication regimen. Documenting and sending the updated list to the pharmacy (
A) should come after compiling the list to ensure accuracy. Comparing preadmission medications to current medications (
C) and addressing discrepancies (
D) are important steps but should follow compiling the current medication list.
Question 3 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.
Question 4 of 5
A nurse is monitoring a client who received a local injection of lidocaine. Which of the following responses should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Client reports of numbness in the area. Lidocaine is a local anesthetic that blocks nerve impulses, resulting in numbness in the area where it was injected. This is an expected response as it indicates the medication is working as intended. Ventricular fibrillation (
A) is a serious cardiac arrhythmia unrelated to local lidocaine injection. Tachycardia (
B) is an increased heart rate and not a typical response to lidocaine. Client reports of increased pain in the area (
C) would be unexpected and might indicate a problem with the injection or the medication.
Question 5 of 5
A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: Decreased wheezing. Theophylline is a bronchodilator used to treat respiratory conditions like asthma by relaxing the muscles in the airways, reducing wheezing. A decrease in wheezing indicates improved airway patency, making it an effective response to the medication. Increased level of consciousness (
A) and increased blood pressure (
C) are not directly related to theophylline's mechanism of action. Decreased urine output (
D) is not a typical indicator of theophylline effectiveness.