ATI RN
ATI RN Pharmacology 2019 Exam 6 Questions
Extract:
Question 1 of 5
A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Assess the client for adverse reactions. This should be the first action because the nurse needs to ensure the client's safety and well-being after missing a dose. Assessing for any potential adverse reactions allows for immediate intervention if needed.
Other choices are incorrect:
A: Determining factors can be done later after ensuring the client's safety.
C: Reporting to the provider can be done after assessing the client.
D: Filing an incident report is important but should come after addressing the immediate client's needs.
Question 2 of 5
A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?
Correct Answer: B
Rationale: The correct answer is B: Fever. This is indicative of an acute infusion reaction to IV amphotericin B, a common adverse effect. Fever can be a sign of an immediate inflammatory response to the medication, requiring prompt intervention. Hyperglycemia (choice
A) is not typically associated with an acute infusion reaction to amphotericin B. Pedal edema (choice
C) and dry cough (choice
D) are not specific to infusion reactions and may indicate other conditions. It is important for the nurse to recognize fever as a potential sign of an acute reaction to ensure timely treatment and prevent further complications.
Question 3 of 5
A nurse is caring for a client who has cancer and reports moderate pain. Which of the following medications should the nurse expect to administer?
Correct Answer: A
Rationale: The correct answer is A: Morphine. Morphine is a potent opioid analgesic commonly used for moderate to severe cancer pain due to its strong pain-relieving properties. It works by binding to opioid receptors in the brain and spinal cord, altering the perception of pain. Acetaminophen (
B) is a mild pain reliever and is not typically sufficient for moderate cancer pain. Ibuprofen (
C) and Aspirin (
D) are nonsteroidal anti-inflammatory drugs (NSAIDs) that are not as effective as opioids for moderate to severe cancer pain. They also carry a higher risk of gastrointestinal side effects which may not be ideal for cancer patients.
Question 4 of 5
A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing a muscarinic response. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale:
Rationale: Neostigmine is a cholinesterase inhibitor that increases acetylcholine levels, leading to muscarinic effects like excessive salivation. Myoclonic seizure (
A) is not a common side effect of neostigmine. Fever (
B) is not associated with muscarinic response. Occipital headache (
D) is more commonly seen with cholinergic crisis rather than muscarinic response.
Question 5 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Correct Answer: B
Rationale: The correct answer is B: Grasp skin between thumb and forefinger throughout the injection. This action helps to create tension on the skin, reducing the risk of bleeding post-injection. By grasping the skin, the nurse stabilizes the site and minimizes movement, making it easier to deliver the medication accurately into the subcutaneous tissue. Massaging the site (
A) can increase bleeding, aspirating the syringe (
C) is not necessary for subcutaneous injections, and using the Z-track method (
D) is typically reserved for intramuscular injections.