ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: B
Rationale: The nurse should clarify the prescription for Nalbuphine with the provider because it is an opioid agonist-antagonist analgesic and could potentially interact with morphine, leading to decreased analgesic effects or increased risk of side effects like respiratory depression. Ondansetron (
A) is commonly used for nausea and vomiting, Insulin glargine (
C) for diabetes, and Acetaminophen (
D) for pain relief, but they do not have significant interactions with morphine.
Question 2 of 5
A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "I will discuss other treatment options with your provider." This answer is appropriate because it shows the nurse's willingness to address the client's fear of needles and explore alternative treatments. It demonstrates patient-centered care and promotes open communication. Option A may minimize the client's fear but doesn't address the underlying issue. Option C is coercive and does not respect the client's autonomy. Option D uses fear tactics and is not therapeutic.
Question 3 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: D
Rationale: The correct answer is D: Pruritus. Pruritus is a common symptom of an allergic reaction, typically presenting as itching of the skin. Allergic reactions to medications like cefaclor can manifest in various ways, but pruritus is a classic sign. Hematuria (
A) is blood in urine, not typically associated with allergic reactions. Slurred speech (
B) and tremor (
C) are more indicative of neurological issues, not allergies.
Therefore, pruritus is the most relevant finding in this scenario.
Question 4 of 5
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneously to a client who weighs 143 lbs. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 325
Rationale:
To calculate the correct dosage of filgrastim for the client weighing 143 lbs, we first need to convert the weight to kg by dividing it by 2.2 (1 kg = 2.2 lbs). 143 lbs / 2.2 = 65 kg.
Then, multiply the weight in kg by the dosage of 5 mcg/kg/day: 65 kg x 5 mcg/kg/day = 325 mcg/day. The correct answer is 325 mcg/day.
Summary:
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Choice A: Incorrect, as it does not provide the calculated dosage based on the client's weight and medication requirement.
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Choices B-G: Irrelevant as they do not offer a calculated dosage or provide any relevant information.
Question 5 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Dispose of the remaining medication while another nurse observes. This is appropriate to ensure proper disposal of the unused portion of the medication to prevent diversion or misuse. By disposing of the remaining medication with another nurse observing, it ensures accountability and adherence to medication safety protocols.
Choice A is incorrect because returning the medication to the facility's pharmacy can lead to confusion and potentially unsafe practices.
Choice C is incorrect as storing the remaining half of the pill in the automated medication dispensing system can lead to errors in medication administration.
Choice D is incorrect as placing the remaining half of the pill in the unit-dose package can also result in medication errors. It is essential to follow proper disposal procedures to maintain patient safety and prevent medication errors.