ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: You will receive TPN through a central vein. This is correct because TPN is a form of nutrition that is delivered directly into the bloodstream through a central vein, typically the subclavian vein. This method allows for the nutrients to be quickly absorbed and utilized by the body.
Explanation of why the other choices are incorrect:
A: You require TPN because your glucose is too high - This is incorrect as TPN is not typically used to address high glucose levels.
B: You will receive TPN for the next 6 months - This is incorrect because the duration of TPN therapy varies based on the individual's condition and needs.
C: You require TPN because you have a low platelet count - This is incorrect as TPN is not specifically used to address a low platelet count.
In summary, choice D is the correct answer as it pertains to the essential method of administering TPN, while the other choices are incorrect as they do
Question 2 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 3 of 5
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to administer IV dextrose (
Choice
C) to treat hypoglycemia in a client receiving parenteral nutrition. This is because hypoglycemia can occur when the body's glucose levels drop too low, which can be dangerous. Administering IV dextrose will help increase the client's blood sugar levels quickly and effectively. Discontinuing the infusion (
Choice
A) may worsen the hypoglycemia by removing a potential source of glucose. Obtaining arterial blood gases (
Choice
B) is not necessary for treating hypoglycemia. Warming the formula to room temperature (
Choice
D) does not address the immediate need to raise the client's blood sugar levels.
Question 4 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: B
Rationale: The correct answer is B: Glaucoma. Atropine is contraindicated in clients with glaucoma due to its potential to increase intraocular pressure, worsening the condition. Bronchospasms (
A), diverticulitis (
C), and diarrhea (
D) are not contraindications for atropine administration. Bronchospasms can actually be treated with atropine, while diverticulitis and diarrhea are not directly affected by atropine administration. It is crucial to consider contraindications to ensure safe and effective medication administration.
Question 5 of 5
A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the ondansetron is effective?
Correct Answer: C
Rationale: The correct answer is C: Decreased nausea. Ondansetron is an antiemetic medication used to prevent nausea and vomiting. A decrease in nausea indicates the medication is effective in managing the client's symptoms. Increased urinary output (choice
A) is not necessarily related to the effectiveness of ondansetron. Reduced dizziness (choice
B) may be a side effect of the medication but does not directly indicate its effectiveness against nausea. Absence of peripheral neuropathy (choice
D) is not a common effect of ondansetron and is not a reliable indicator of its effectiveness.