ATI RN
ATI Nurs 180 Phamacology Questions
Extract:
Question 1 of 5
Which situation demonstrates ethical reporting of a medication error?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates ethical reporting of a medication error. By informing the patient, documenting the error according to hospital policy, and notifying the physician, the nurse follows best practices for transparency and accountability. This approach prioritizes patient safety and ensures proper follow-up care.
Option A is incorrect as failure to document the error can lead to further complications and legal issues. Option B is incorrect as all medication errors, regardless of harm, should be reported and documented for quality improvement purposes. Option C is incorrect as reporting is necessary even if the error was caught before administration to prevent future errors.
Question 2 of 5
A nurse is caring for an older adult client. The nurse should recognize that which of the following considerations apply to older adults and pharmacology?
Correct Answer: B,C,E
Rationale:
Correct
Answer: B, C, E
Rationale:
B: Older adults are at risk for drug toxicity due to accumulation in the body. This is because aging can lead to decreased liver and kidney function, which can impair drug metabolism and elimination, increasing the risk of toxicity.
C: The elderly population is susceptible to polypharmacy. Older adults often take multiple medications for various chronic conditions, increasing the risk of drug interactions, adverse effects, and non-adherence.
E: Older adults have delayed absorption. Changes in gastrointestinal motility and blood flow can lead to delayed absorption of medications in older adults, affecting drug effectiveness and onset of action.
Summary of Other
Choices:
A: Parenteral medications are not universally avoided in older adults; the decision depends on individual factors such as vein condition and medication properties.
D: Medication metabolism tends to be slower, not faster, in older adults due to age-related physiological changes.
F: No information is provided for this choice.
G: No information is provided
Question 3 of 5
A charge nurse is teaching a group of nurses about the antagonist action of reversal medications. For each medication listed below, click to specify the expected reversal agent
| Options | Glucagon | Acetylcysteine | Naloxone | Flumazenil |
|---|---|---|---|---|
| Naloxone | ||||
| Flumazenil | ||||
| Glucagon | ||||
| Acetylcysteine |
Correct Answer: A,B,C,D
Rationale: [1,1,1,1]
The correct answer is A,B,C,D.
- Naloxone reverses opioid overdose by competitively inhibiting opioid receptors.
- Flumazenil is a benzodiazepine receptor antagonist, used to reverse sedative effects of benzodiazepines.
- Glucagon is used to reverse severe hypoglycemia by increasing blood glucose levels.
- Acetylcysteine is the antidote for acetaminophen overdose by replenishing glutathione levels.
Other options are incorrect as they do not match the mechanisms of action of the medications listed.
Question 4 of 5
The nurse is preparing to administer medications to a 38-year-old client. Before administering the medications, the nurse understands which components make up the Five Rights of Medication Administration?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Right Dose ensures the client receives the correct amount of medication, preventing under or overdosing. Right Drug ensures the client receives the intended medication, preventing errors. Right Patient ensures the medication is administered to the correct client, preventing mix-ups.
Choices A, E, F are not part of the Five Rights of Medication Administration, which are specifically focused on ensuring safe and accurate medication administration.
Question 5 of 5
A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage?
Correct Answer: C
Rationale: The correct answer is C: 0.2 mg. When transcribing a dosage of two tenths of a milligram, it should be written as 0.2 mg to accurately represent the decimal point.
Choice A (2 mg) is incorrect as it represents a dosage that is 10 times greater.
Choice B (0.20 mg) is incorrect as it adds unnecessary zeros after the decimal point.
Choice D (2.0 mg) is incorrect as it implies a dosage that is 10 times greater.
Therefore, the most accurate and appropriate representation of two tenths of a milligram is 0.2 mg, making choice C the correct answer.