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 providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Blurred vision. Carbamazepine is known to cause visual disturbances, including blurred vision, diplopia, and nystagmus. The nurse should instruct the client to monitor for any changes in vision and report them to their healthcare provider. Insomnia (
B) is not a common adverse effect of carbamazepine. Metallic taste (
C) is associated with some medications but not typically with carbamazepine. Tachypnea (
D) refers to rapid breathing and is not a common adverse effect of carbamazepine.
Question 3 of 5
A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client?
Correct Answer: C
Rationale: The correct answer is C: Use two client identifiers prior to administering the medication. This is crucial to ensure the right medication is given to the right client. By using two identifiers (such as name and date of birth), the nurse verifies the client's identity accurately. This step helps prevent medication errors and ensures patient safety.
Option A is not as effective as it does not directly verify the client's identity. Option B involves verifying the written order but does not confirm the client's identity. Option D is after administration and does not prevent errors.
Question 4 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?
Correct Answer: B
Rationale: The correct answer is B: Calcium. Levothyroxine should be taken on an empty stomach to ensure proper absorption. Calcium can interfere with levothyroxine absorption, so it is recommended to wait at least 4 hours between taking them. Ginkgo biloba, Vitamin C, and Zinc do not interfere significantly with levothyroxine absorption. Taking them at the same time as levothyroxine should not cause any issues.
Question 5 of 5
A nurse is assessing a client who received the measles, mumps, and rubella virus vaccine. Which of the following findings indicates an adverse reaction to the vaccination?
Correct Answer: B
Rationale: The correct answer is B: Petechiae. Petechiae are small red or purple spots on the skin caused by bleeding under the skin. This can indicate a serious adverse reaction to the vaccine, such as a bleeding disorder. Bradycardia (choice
A), tinnitus (choice
C), and blurred vision (choice
D) are not typical adverse reactions to the measles, mumps, and rubella vaccine. Bradycardia is a slow heart rate, tinnitus is ringing in the ears, and blurred vision can be a side effect of various medications but are not commonly associated with this vaccine.