ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Nurses' Notes
Laboratory Results
0900:
The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year.
Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn.
A nurse is caring for a female client in a provider's office.
Question 1 of 5
For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided. Options: A. 'If I experience black stools, I should notify my provider.' B. 'I should avoid taking antacids while on this medication.' C. 'I should take my medications on an empty stomach.' D. 'I should rinse my mouth after taking this medication.' E. 'I should take this medication with orange juice.'
Correct Answer: B,D,E
Rationale:
Correct Answer: B, D, E
Explanation:
B. 'I should avoid taking antacids while on this medication.' - Correct. Antacids can interfere with the absorption of certain medications.
D. 'I should rinse my mouth after taking this medication.' - Correct. Some medications may cause oral irritation or taste disturbances.
E. 'I should take this medication with orange juice.' - Incorrect. Unless specified by the provider, it's generally advised to avoid taking medications with citrus juices as they can interact with the medication.
Summary:
A. 'If I experience black stools, I should notify my provider.' - This indicates understanding as black stools can be a sign of gastrointestinal bleeding.
C. 'I should take my medications on an empty stomach.' - This is incorrect for some medications that require food.
E. 'I should take this medication with orange juice.' - Incorrect due to potential interactions.
Extract:
Question 2 of 5
A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C: Prochlorperazine. This medication is an antiemetic that helps in controlling severe vomiting. It works by blocking dopamine receptors in the brain, reducing nausea and vomiting. Propafenone (
A) is an antiarrhythmic drug, not indicated for vomiting. Simvastatin (
B) is a statin used for lowering cholesterol. Metformin (
D) is an antidiabetic medication. These choices are incorrect for treating severe vomiting as they do not have antiemetic properties.
Question 3 of 5
A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client?
Correct Answer: C
Rationale: The correct answer is C: Use two client identifiers prior to administering the medication. This is crucial to ensure the right medication is given to the right client. By using two identifiers (such as name and date of birth), the nurse verifies the client's identity accurately. This step helps prevent medication errors and ensures patient safety.
Option A is not as effective as it does not directly verify the client's identity. Option B involves verifying the written order but does not confirm the client's identity. Option D is after administration and does not prevent errors.
Question 4 of 5
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?
Correct Answer: A
Rationale: The correct answer is A: PT (Prothrombin Time). PT is used to monitor warfarin therapy as it measures the extrinsic pathway of the clotting process, which warfarin affects. Monitoring PT helps ensure the client is within the therapeutic range to prevent bleeding or clotting complications.
Total iron-binding capacity (
B) is unrelated to warfarin therapy. WBC (
C) is a white blood cell count, not relevant for warfarin monitoring. PTT (
D) is used to monitor heparin therapy, not warfarin.
Question 5 of 5
A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Correct Answer: D
Rationale: The correct answer is D. A respiratory rate of 10/min indicates respiratory depression, a common adverse reaction to morphine. Morphine can depress the respiratory center in the brain, leading to shallow breathing or apnea. This can result in hypoxia and potentially life-threatening complications. Blood pressure, temperature, and heart rate within normal ranges do not necessarily indicate adverse reactions to morphine. In summary, monitoring respiratory rate is crucial in detecting adverse reactions to morphine due to its potential for respiratory depression.