ATI RN
ATI RN Pharmacology 2023 Retake 2 Questions
Extract:
Question 1 of 5
A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?
Correct Answer: C
Rationale: The correct answer is C: Sildenafil. Nitroglycerin and sildenafil both cause vasodilation, leading to a significant drop in blood pressure when used together, which can result in severe hypotension and cardiovascular collapse. Lansoprazole (
A) is a proton pump inhibitor, Diazepam (
B) is a benzodiazepine, and Gemfibrozil (
D) is a lipid-lowering medication, none of which have significant interactions with nitroglycerin.
Question 2 of 5
A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Identify the client using two identifiers. This is the first step the nurse should take to ensure the right medication is given to the right patient, as per medication administration safety protocols. By verifying the client's identity using two identifiers, such as name and date of birth, the nurse can prevent medication errors and ensure patient safety.
A: Documenting the administration of the medication would come after ensuring the correct patient receives the medication.
C: Removing the medication from the dispensing cabinet is important but should follow client identification.
D: Comparing the medication amount to the inventory record is important for restocking purposes but is not the first step in safe medication administration.
Question 3 of 5
A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Keep the solution refrigerated until 1 hr before infusion. This is important to prevent bacterial growth in the TPN solution. Refrigeration helps maintain the sterility and integrity of the solution. Changing the solution every 36 hours (
A) is not necessary unless contamination is suspected. Obtaining the client's weight three times a week (
B) is important for monitoring fluid status but not directly related to TPN administration. Checking the client's WBC count daily (
D) is not specifically related to TPN administration and may not be necessary unless the client develops signs of infection.
Question 4 of 5
A nurse is preparing an educational training session about collaborating with the provider to prevent medication errors. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Providers should cosign all verbal prescriptions. This is essential to prevent medication errors by ensuring accountability and double-checking the accuracy of the prescription. Cosigning adds an additional layer of safety by involving another healthcare professional in the process. Reading back prescriptions (
A) is important for all medications, not just high alert ones, to confirm understanding. Utilizing assistive personnel as a witness (
C) may introduce potential for miscommunication or errors. Safe abbreviations (
D) should be used by all healthcare professionals, not just providers, to reduce errors.
Question 5 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: C
Rationale: The correct answer is C. Clients with AIDS have compromised immune systems, making them more susceptible to adverse effects of the varicella vaccine. It is contraindicated in immunocompromised individuals due to the risk of disseminated vaccine-related disease.
Choice A is incorrect because receiving the HPV vaccine does not affect the varicella vaccine.
Choice B is incorrect as older adults in long-term care facilities are not contraindicated for the varicella vaccine.
Choice D is incorrect because while the varicella vaccine is grown in cells derived from eggs, the risk of an allergic reaction is low, and precautions can be taken.