ATI RN
ATI Pharmacology 2023 III 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: A
Rationale:
Correct
Answer: A
Rationale:
1. Remove the air bubble to avoid injecting air into the bloodstream, which can cause harm.
2. After drawing up the correct dose, flick the syringe to move any air bubbles to the top, and then push the plunger to expel the air.
3. Inject the medication slowly at a 45 to 90-degree angle into the fatty tissue of the abdomen or thigh.
4. Pinch the skin fold and insert the needle. After injecting, release the skin fold.
5. Avoid rubbing the site to prevent irritation and bruising.
Summary:
- B: Rubbing the site can cause irritation and bruising.
- C: Injections are typically given in the abdomen or thigh, not specifically the lateral thigh.
- D: Releasing the skin fold after injecting is correct, not before.
- E, F, G: No additional options provided.
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 received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D. A respiratory rate of 10/min indicates respiratory depression, a common adverse reaction to morphine. Morphine can depress the respiratory center in the brain, leading to shallow breathing or apnea. This can result in hypoxia and potentially life-threatening complications. Blood pressure, temperature, and heart rate within normal ranges do not necessarily indicate adverse reactions to morphine. In summary, monitoring respiratory rate is crucial in detecting adverse reactions to morphine due to its potential for respiratory depression.
Question 4 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Return expired medication to the pharmacist. This is the safest method of medication disposal as pharmacists have proper procedures to handle and dispose of expired medications safely. Pouring medication into the waste basket (
A), discarding down the toilet (
B), and rinsing down the sink (
C) can lead to environmental contamination and potential harm to others. Returning medication to the pharmacist ensures proper disposal and prevents misuse or accidental ingestion.
Question 5 of 5
A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide, especially in high doses, can lead to tardive dyskinesia, a serious movement disorder characterized by involuntary repetitive movements of the face and body. This adverse effect is more common with long-term use. It is crucial for the nurse to monitor the client for any signs of tardive dyskinesia to prevent further complications.
A: Dry cough is not a common adverse effect of metoclopramide.
B: Oral candidiasis is not a common adverse effect of metoclopramide.
C: Black stools are not a common adverse effect of metoclopramide.
E, F, G: No additional options provided.