ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 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 a medication that can worsen the condition of glaucoma by increasing intraocular pressure, leading to potential vision damage. 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.
Question 2 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 because a client with AIDS has a weakened immune system, making them more susceptible to adverse reactions from live vaccines like the varicella vaccine. This population is at higher risk of developing severe complications from the vaccine.
A: A young adult with an egg allergy is not a contraindication for the varicella vaccine since the vaccine is grown in a cell culture, not eggs.
B: An older adult in a long-term care facility does not have a contraindication unless there are specific health conditions present.
C: A child who recently received the human papillomavirus vaccine is not a contraindication for varicella vaccine.
In summary, choice D is correct due to the increased risk of adverse reactions in a client with AIDS, while the other choices do not present contraindications.
Question 3 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: D
Rationale: The correct answer is D: Heart rate. Propranolol is a beta-blocker that primarily works by slowing down the heart rate and reducing blood pressure.
Therefore, it is crucial for the nurse to assess the client's heart rate before administering this medication to ensure it is within the safe range. Assessing the heart rate helps the nurse monitor for potential side effects such as bradycardia.
A: Pain level is not directly related to the administration of propranolol.
B: Temperature is not directly related to the administration of propranolol.
C: Respiratory rate is not the primary parameter to assess before administering propranolol.
In summary, assessing the heart rate is essential before administering propranolol to monitor its effects and ensure client safety.
Question 4 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 5 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: A
Rationale: The correct answer is A. Verifying a written order with the medication administration record is essential to ensure the right medication is administered. By comparing the written order with the medication administration record, the nurse can confirm the correct medication, dosage, route, and time. This step helps prevent medication errors and ensures the client receives the intended treatment.
Summary of other choices:
B: Documenting the full name after administration does not ensure the right medication is administered beforehand.
C: Asking another nurse to check the dosage is a good practice but does not directly confirm the right medication.
D: Using two client identifiers is important for patient safety but does not specifically address ensuring the right medication is administered.
E & F: None of these options provide a direct method to ensure the right medication is administered.