ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a prescription for an epinephrine auto-injector. The nurse should instruct the client to take which of the following actions first?
Correct Answer: B
Rationale: The correct answer is B: Jab the device into the outer thigh. This action is crucial because epinephrine needs to be delivered quickly in case of an allergic reaction. Jabbing the device ensures prompt administration, as opposed to massaging the thigh first (
A), seeking immediate medical attention (
C), or holding the injector in place (
D), which can delay the delivery of epinephrine and worsen the client's condition.
Question 2 of 5
A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?
Correct Answer: A
Rationale: The correct answer is A: Nitroglycerin. Nitroglycerin is a contraindication for sildenafil due to the potential severe hypotension when both drugs are used together. Nitroglycerin is a vasodilator that can significantly lower blood pressure, and when combined with sildenafil, which also causes vasodilation, the additive effect can lead to dangerously low blood pressure. Albuterol, Furosemide, and Indomethacin do not have significant interactions with sildenafil that would contraindicate their use together.
Question 3 of 5
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hyperkalemia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Place the client on a cardiac monitor. Hyperkalemia can lead to life-threatening cardiac arrhythmias. By placing the client on a cardiac monitor, the nurse can continuously monitor the client's heart rhythm for any signs of arrhythmias. This allows for prompt detection and intervention if needed to prevent cardiac complications.
A: Warming the formula to room temperature is not relevant to managing hyperkalemia.
B: Requesting a lactose-free formula is not necessary for addressing hyperkalemia.
C: Administering IV dextrose does not directly address hyperkalemia and may not be appropriate for this situation.
Question 4 of 5
A nurse is teaching a client who has a new prescription for a metered-dose inhaler. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A,B,C,E
Rationale: The correct answers are A, B, C, and E. A spacer improves drug delivery and reduces side effects. Inhaling slowly helps medication reach the lungs. Holding the mouthpiece between the lips ensures proper inhalation technique. Rinsing the mouth after use prevents oral thrush.
Choice D is incorrect as the inhaler may be for prevention too.
Question 5 of 5
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Hypotension is the priority finding because it can lead to decreased placental perfusion and compromise fetal oxygenation. The nurse should address hypotension promptly to prevent adverse outcomes for both the mother and the baby. Leg weakness is a common side effect of epidural anesthesia but is not as urgent as hypotension. Urinary retention can occur due to the epidural, but it does not pose an immediate threat to the client or baby. An elevated temperature may indicate infection but is not directly related to the epidural anesthesia.