ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Elevate the extremity. Elevating the extremity helps to reduce swelling and promote fluid reabsorption, preventing further infiltration. By elevating the extremity, gravity assists in draining the excess fluid back into circulation. Applying pressure (choice
A) may further damage tissues. Slowing the infusion rate (choice
B) may not be sufficient to prevent further infiltration. Flushing the IV catheter (choice
D) is not appropriate in this situation as it does not address the issue of infiltration.
Question 3 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. In septic shock, the client experiences severe hypotension due to decreased blood flow to vital organs. Dopamine is a vasopressor used to increase blood pressure.
Therefore, if the nurse observes persistent hypotension, it indicates that the current dose of dopamine is not effectively raising blood pressure and should be increased. Extravasation (
A), headache (
B), and chest pain (
D) are not direct indications for adjusting the dopamine infusion rate in this scenario.
Question 4 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the air bubble remains in the syringe. This is important because enoxaparin is an anticoagulant medication and should be injected without removing the air bubble to ensure the full dose is administered.
Choice A is incorrect as enoxaparin should be injected into the abdomen, not the lateral thigh.
Choice B is incorrect because the skin fold should be held during the injection to ensure proper administration.
Choice D is incorrect as rubbing the site after injection can cause bruising or irritation.
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: 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.