ATI RN
ATI Pharmacology 2023 Questions
Extract:
Question 1 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 ocular side effects, including blurred vision. The rationale is that carbamazuepine can lead to changes in the eye's ability to focus, causing blurred vision as a common adverse effect. This is important for the client to monitor because it can impact their daily activities and driving. The other choices, B: Insomnia, C: Metallic taste, and D: Tachypnea, are not typically associated with carbamazepine use. Insomnia is more commonly seen with stimulant medications, metallic taste is associated with certain antibiotics, and tachypnea is not a common side effect of carbamazepine.
Therefore, the correct answer is A because it directly relates to the medication's known adverse effects.
Question 2 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. When titrating a nitroprusside infusion, monitoring blood pressure is crucial as nitroprusside is a potent vasodilator that can cause hypotension. By adjusting the infusion rate based on blood pressure readings, the nurse can prevent hypotension or hypertension. Monitoring stroke volume, cardiac output, or urine output is not specific to nitroprusside titration and may not reflect the immediate effects of the medication on blood pressure. Blood pressure is the most direct indicator of the medication's hemodynamic effects and guides titration to maintain optimal perfusion pressure.
Question 3 of 5
A nurse is caring for a client who is receiving magnesium sulfate IV bolus for preeclampsia. The client's respiratory rate is 6/min and they have absent deep tendon reflexes. Which of the following medications should the nurse anticipate the provider to prescribe?
Correct Answer: B
Rationale: The correct answer is B: Calcium gluconate. In this scenario, the client is showing signs of magnesium sulfate toxicity, including respiratory depression and absent deep tendon reflexes. Calcium gluconate is the antidote for magnesium sulfate toxicity as it competes with magnesium for receptor sites, counteracting its effects. Methylergonovine is used to prevent or control postpartum hemorrhage, not for magnesium sulfate toxicity. Naloxone is used to reverse opioid overdose, not for magnesium sulfate toxicity. Dexamethasone is a corticosteroid used for various conditions but is not indicated for magnesium sulfate toxicity.
Question 4 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the medication into the anterolateral or posterolateral abdominal area. This site is recommended for enoxaparin injection as it minimizes the risk of hitting a large blood vessel or nerve. It also provides a safe and effective route for absorption. Massaging the injection site (
Choice
A) is not recommended as it can cause bruising or irritation. Expelling air bubbles (
Choice
B) is important to prevent air embolism, but this is not typically a concern with prefilled syringes. Holding the skin taut (
Choice
C) is not necessary and may cause unnecessary discomfort. Administering the medication into other areas of the body (
Choice E, F, G) may not provide consistent absorption or could lead to complications.
Question 5 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: The correct answer is A: Ensure that the air bubble remains in the syringe. This is important because enoxaparin is an anticoagulant medication, and any air in the syringe could lead to inaccurate dosing. The air bubble acts as a safety measure to prevent losing any medication. Option B is incorrect as rubbing the site can cause irritation and bruising. Option C is incorrect as enoxaparin is typically injected into the abdomen, not the lateral thigh. Option D is incorrect as releasing the skin fold too soon can cause the medication to leak out.