ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
The nurse notifies the client and provides teaching about the newly prescribed medication. 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: A.
Correct Answer: A,A,B,A,B
Rationale: The correct answer is A, A, B, A, B. A indicates understanding as it shows the client knows to notify the provider of black stools. A is repeated for emphasis. B is incorrect as the client should not take medication with orange juice. C is incorrect as the medication should not be taken on an empty stomach. D is incorrect as antacids are usually recommended with this medication. E is incorrect as rinsing the mouth is not necessary for this medication. The correct choices demonstrate understanding of the medication regimen and safety precautions.
Question 2 of 5
A nurse is assessing a client who is taking furosemide for heart failure. Which of the following findings indicates an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss. Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing loss. This adverse effect is important for the nurse to monitor in clients taking furosemide. Increased blood pressure (
A) is not an adverse effect of furosemide but rather a desired outcome in heart failure management. Ankle edema (
C) is actually a symptom of heart failure and should improve with furosemide use. Decreased blood sugar (
D) is not a common adverse effect of furosemide.
Question 3 of 5
A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: File a report with the facility to document the incident as a near miss medication error. This action is crucial for patient safety and quality improvement. By documenting the incident as a near miss, the facility can investigate the root cause, implement preventive measures, and prevent future errors. Informing the client (
A) may cause unnecessary distress. Contacting the prescribing provider (
B) is important but should be done after reporting to the facility. Writing in the client's medical record (
C) is not sufficient for proper reporting.
Choices E, F, and G are not relevant to the situation.
Question 4 of 5
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?
Correct Answer: C
Rationale: The correct answer is C. A negative sputum culture indicates that the client is adhering to the medication regimen for tuberculosis. This outcome suggests that the medication is effectively reducing the bacterial load in the lungs. A positive PPD test (choice
A) indicates exposure to TB but does not assess medication adherence. A negative HIV test (choice
B) is unrelated to TB medication adherence. Liver function test results within the expected range (choice
D) are important but do not directly confirm medication adherence for TB.
Question 5 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.