ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client about total parenteral nutrition (TPM). Which of the following information should the nurse include?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale:
Total Parenteral Nutrition (TPN) bypasses the digestive tract, providing nutrients directly into the bloodstream. This is crucial for clients who cannot tolerate enteral feeding. TPN is administered through a central line to prevent irritation and complications from peripheral IV access. The other options are incorrect because TPN carries a higher risk of complications, including sepsis, hyperglycemia, electrolyte imbalances, and liver dysfunction. Administering TPN peripherally can lead to phlebitis and infiltration. Aspiration risk is more associated with enteral feeding rather than TPN, which is given intravenously. The nurse should emphasize the importance of proper line care and monitoring to prevent infections and other adverse effects.
Question 2 of 5
A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: "I will discuss other treatment options with your provider." This response shows respect for the client's autonomy and addresses their fear of needles by exploring alternative treatment options. It also indicates collaboration with the healthcare provider to find a solution that is acceptable to the client.
B: This response is coercive and does not respect the client's autonomy, which may lead to further refusal of treatment.
C: While this response provides reassurance about the pain level, it does not address the client's fear of needles and may not alleviate their concerns.
D: This response is a form of coercion and may create a barrier to effective communication and trust between the nurse and the client.
In summary, response A is the most appropriate as it respects the client's autonomy, addresses their fear, and promotes collaborative decision-making.
Question 3 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: B
Rationale: The correct answer is B: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is important to ensure accurate dosage measurement, preventing dosing errors. Using reading glasses can help the older adult see the markings clearly, reducing the risk of under or overdosing. Option A is incorrect because taking an additional dose of insulin glargine prior to exercise without proper guidance can lead to hypoglycemia. Option C is incorrect because the deltoid muscle is not a recommended injection site for insulin glargine. Option D is incorrect as insulin glargine is typically administered once a day at the same time each day, not necessarily before each meal.
Question 4 of 5
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?
Correct Answer: D
Rationale: The correct answer is D. Clients with AIDS have weakened immune systems, making them more susceptible to adverse reactions from live vaccines like the varicella vaccine. This contraindication is due to the risk of developing severe complications from the live virus in the vaccine. Clients with compromised immune systems should not receive live vaccines.
A: Allergy to eggs is not a contraindication for the varicella vaccine as only a severe allergic reaction to eggs is a concern.
B: Age or living in a long-term care facility does not impact the contraindication for the varicella vaccine.
C: Recent HPV vaccination does not affect the contraindication for the varicella vaccine.
Question 5 of 5
A nurse is evaluating a client who received subcutaneous sumatriptan 1 hour ago. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: Pressure in the chest. Sumatriptan is a medication used to treat migraines and can cause chest pressure or tightness as an adverse effect due to its vasoconstrictive properties. This effect can be concerning as it may mimic symptoms of cardiac issues. Visual disturbances (choice
A) and phonophobia (choice
B) are common symptoms of migraines and not typically associated with sumatriptan adverse effects. Numbness of the tongue (choice
D) is not a common adverse effect of sumatriptan. Overall, the chest pressure is the most critical finding to identify and monitor for with this medication.