ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Nurses' Notes
Laboratory Results
Day 1:
Temperature 36.9°C (98.4" F)
Heart rate 78/min
Blood pressure 118/76 mm Hg
Respiratory rate 18/min
Day 14:
Temperature 36.3" C (97.4" F)
Heart rate 86/min
Blood pressure 110/66 mm Hg
Respiratory rate 16/min
Question 1 of 5
Click to highlight the findings that require immediate follow-up.
Correct Answer: A,B,C,D
Rationale: The correct answer is A, B, C, and D. A, mild headaches, could indicate a potential neurological issue. B, severe nausea and vomiting, may signify a serious gastrointestinal problem. C, difficulty remembering medication times, is a cognitive concern. D, low sodium levels, can lead to various health complications. These findings require immediate follow-up to address potential health risks. Other choices (E, F, G) are left blank as they are not relevant to the immediate health concerns highlighted in the question.
Extract:
Vital Signs
Provider Prescriptions
Nurses' Notes
Day 1:
Temperature 36.2° C (97.2° F) Respiratory rate 18/min
Heart rate 74/min
Blood pressure 118/68 mm Hg SPO2 96% on room air
Day 7:
Temperature 36.9°C (98.4" F) Heart rate 86/min
Respiratory rate 18/min Blood pressure 98/66 mm Hg SPO2 97% on room air
Question 2 of 5
Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale:
To determine the correct statements to include when teaching the client about the prescribed medication, the nurse must consider potential side effects, precautions, and interactions.
A: Taking the medication with a meal can help reduce nausea, promoting adherence.
B: Orthostatic hypotension is a common side effect; advising the client to stand up slowly is crucial.
C: Increase in involuntary movements may indicate adverse effects and require immediate medical attention.
D: High protein meals can reduce absorption of certain medications, affecting effectiveness.
E: Vivid nightmares are a possible side effect that should be monitored and reported to the healthcare provider.
In summary, these statements are crucial for promoting medication effectiveness, preventing adverse reactions, and ensuring client safety.
Extract:
Question 3 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: D
Rationale: The nurse should clarify the prescription for nalbuphine with the provider because it is an opioid agonist-antagonist analgesic. Combining nalbuphine with morphine can lead to opioid withdrawal symptoms or reduced analgesic effects. Insulin glargine is a long-acting insulin, acetaminophen is a non-opioid analgesic, ondansetron is an antiemetic used to prevent nausea and vomiting.
Therefore, choices A, B, and C do not pose a significant risk of interaction with morphine.
Question 4 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 mL via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: A
Rationale:
To calculate the IV infusion rate in drops per minute (gtt/min), we use the formula: (Volume to be infused in mL ÷ Time in minutes) x Drop factor. In this case, the volume to be infused is 100 mL over 30 min, and the drop factor is 15 gtt/mL. So, (100 mL ÷ 30 min) x 15 gtt/mL = 50 gtt/min. This ensures the accurate delivery of cefazolin within the specified time frame. Other choices are incorrect because they do not accurately calculate the required infusion rate based on the given parameters.
Question 5 of 5
A nurse is preparing to administer warfarin to a client. Which of the following findings indicates a contraindication?
Correct Answer: D
Rationale: The correct answer is D: Decreased vitamin K level. Warfarin is an anticoagulant that works by inhibiting vitamin K-dependent clotting factors. If a client already has a decreased vitamin K level, administering warfarin could further increase the risk of bleeding. A history of artificial heart valve (choice
B) would actually warrant the use of warfarin to prevent clot formation. Blood pressure (choice
A) and heart rate (choice
C) are within normal limits and do not directly contraindicate warfarin administration.