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 reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
Correct Answer: B
Rationale: The correct answer is B: WBC count. Filgrastim is a medication that stimulates the production of white blood cells (WBCs).
Therefore, monitoring the WBC count is crucial to evaluate the effectiveness of the treatment. An increase in WBC count indicates that the filgrastim is working to boost the immune system.
Incorrect
Choices:
A: INR - INR measures blood clotting time and is not directly related to the effectiveness of filgrastim.
C: BUN - BUN assesses kidney function, which is not affected by filgrastim.
D: Potassium level - Potassium is not typically affected by filgrastim therapy.
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 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: C
Rationale: The correct answer is C: Blood pressure. When titrating a nitroprusside infusion, monitoring blood pressure is crucial as nitroprusside is a potent vasodilator that can cause significant hypotension. The goal is to maintain a specific blood pressure range to ensure adequate perfusion to vital organs without causing hypotension or hypertension. Monitoring urine output (
A), stroke volume (
B), and cardiac output (
D) may provide valuable information, but blood pressure is the most direct indicator of the drug's effect on the cardiovascular system. It is essential to titrate the infusion based on blood pressure changes to prevent adverse effects and ensure optimal patient outcomes.
Question 5 of 5
A nurse is teaching a group of clients about proper disposal of unused pain medications at home. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Mix unused medications in coffee grounds before disposing of them. Mixing medications in coffee grounds helps to make them unattractive to children, pets, and individuals who may intentionally seek them out. It also helps to mask the medication's smell to deter others from retrieving them. This method is recommended by the FDA and EPA for safe medication disposal.
Choice A is incorrect because throwing medications in a dumpster can lead to misuse by others.
Choice B is incorrect as it does not ensure the medication is properly disposed of.
Choice C is incorrect as crushing opioids can still be dangerous if retrieved by others.