ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because rifampin can cause a harmless side effect of orange discoloration of bodily fluids, including urine. This is important for the client to be aware of to prevent unnecessary concern or alarm.
Choice A is incorrect as rifampin can reduce the effectiveness of oral contraceptives.
Choice B is incorrect as rifampin is usually taken once daily in the morning on an empty stomach.
Choice C is incorrect as wearing soft contact lenses is not recommended while on rifampin due to potential discoloration.
Question 2 of 5
A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. Nifedipine is a calcium channel blocker used to treat hypertension. Monitoring the client's blood pressure prior to administration is crucial as nifedipine can cause significant hypotension. Assessing respiratory rate, temperature, and oxygen saturation are important but not specific to nifedipine administration. Blood pressure is the most relevant parameter to monitor for this medication.
Question 3 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. In septic shock, the body's blood pressure drops significantly, leading to hypotension. Dopamine is a vasopressor that helps increase blood pressure by constricting blood vessels.
Therefore, if the client's blood pressure remains low despite being on dopamine, it indicates that the current rate of infusion is not sufficient to maintain adequate perfusion to vital organs. Increasing the rate of infusion would help improve blood pressure and perfusion.
Choices A, C, and D are incorrect as they are not directly related to the need for increasing the dopamine infusion rate in septic shock.
Question 4 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Correct Answer: B
Rationale: The correct answer is B: Grasp skin between thumb and forefinger throughout the injection. This technique helps to create tension in the skin, making it easier for the needle to penetrate the subcutaneous tissue and reducing the risk of bleeding. Massaging the site (choice
A) can actually increase the risk of bleeding by disrupting the clotting process. The Z-track method (choice
C) is used for intramuscular injections, not subcutaneous. Aspirating the syringe (choice
D) is not necessary for subcutaneous injections as there are no large blood vessels in the subcutaneous tissue.
Therefore, grasping the skin between thumb and forefinger is the correct technique to minimize bleeding following a subcutaneous injection.
Question 5 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: The correct answer is C: A client receives their insulin 1 hr before scheduled. This situation requires an incident report because administering insulin at the wrong time could lead to serious complications like hypoglycemia or hyperglycemia. Incident reports are crucial for documenting errors in patient care to ensure proper follow-up and prevent future occurrences.
Choices A, B, and D do not involve potential harm or risk to the client's health, thus not requiring an incident report.