RN ATI PHARMACOLOGY PROCTORED EXAM
NEWEST 2023 2 VERSIONS EACH VERSION
WITH 70 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANS... [Show More] WERS) |ALREADY GRADED A+
ATI PHARM VERSION 1
A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take?
a. administer the medication outside the 5 cm (2 in) radius of the
umbilicus
b. aspirate for blood return before injecting
c. rub vigorously after the injection to promote absorption
d. place a pressure dressing on the injection site to prevent bleeding -
....ANSWER...a. administer the medication outside the 5 cm (2 in)
radius of the umbilicus
RATIONALE: -the nurse should administer the heparin by
subcutaneous injection to the abdomen in an area that is above the
iliac crest and at least 5 cm (2 in) away from the umbilicus
-the nurse should not aspirate by pulling back on the plunger of the
heparin syringe to check for a blood return, because this will cause the
injection site to bruise
-the nurse should apply firm pressure to the injection site for 1-2 min
after the administration of the heparin to prevent bruising
A nurse at an urgent care clinic is collecting a history from a female
client who has a urinary tract infection. The nurse anticipates a
prescription for ciprofloxacin. The nurse should identify that which of
the following client statements indicates a contraindication for
administering this medication?
a. "I have tendonitis, so I haven't been able to exercise."
b. "I take a stool softener for chronic constipation."
c. "I take medicine for my thyroid."
d. "I am allergic to sulfa." - ....ANSWER...a. "I have tendonitis, so I
haven't been able to exercise."
RATIONALE: -the nurse should identify tendonitis as a
contraindication for taking ciprofloxacin due to the risk of tendon
rupture
-diarrhea is an adverse effect of this medication
-ciprofloxacin is a quinolone antibiotic
A nurse is reviewing the laboratory results for a client who is
receiving heparin via continuous IV infusion for deep-vein
thrombosis. The nurse should discontinue the medication infusion for
which of the following client findings?
a. potassium 5.0 mEq/L
b. aPTT 2 times the control
c. hemoglobin 15 g/dL
d. platelets 96,000 mm3 - ....ANSWER...d. platelets 96,000 mm3
RATIONALE: -a platelet count of 96,000 mm3 is below the
expected range of 150,000-400,000 mm3. A platelet countless than
100,000 mm3 while receiving heparin can indicate heparin-induced
thrombocytopenia, a potentially fatal condition that requires stopping
the infusion
-an Hgb of 15 g/dL is within the expected range or 14-18 g/dL for a
male and 12-16 g/dL for a female and is not an indication to stop the
heparin infusion
A nurse is caring for a client who is in labor. The client is receiving
oxytocin by continuous IV infusion with a maintenance IV solution.
The external FHR monitor indicates late decelerations. Which of the
following actions should the nurse take first?
a. turn the client to a side-lying position
b. disconnect the clients oxytocin from the maintenance IV
c. apply oxygen to the client by face mask
d. increase the client's maintenance IV infusion rate - ....ANSWER...a.
turn the client to a side-lying position
RATIONALE: -the greatest risk to the fetus experiencing late
decelerations is injury from uteroplacental insufficiency. Therefore,
the priority action the nurse should take is to place the client in a
lateral position
-the nurse should increase the client's maintenance IV infusion rate to
maintain adequate blood flow and promote placental perfusion.
However, another action is the nurse's priority
-all of these answers are correct, however, turning the client to the
side is the nurse's priority
A nurse is preparing to administer medications to a client who tells
the nurse, "I don't want to take my fluid pill until I get home today."
Which of the following actions should the nurse take?
a. document the refusal and inform the client's provider
b. file an incident report with the risk manager
c. contact the pharmacist to pick up the medication
d. give the client the medication to take home and document that it
was administered - ....ANSWER...a. document the refusal and inform
the client's provider
RATIONALE: -the nurse has the responsibility to verify that the
client understands the risks of refusing the medication so that an
informed decision can be made. The nurse should then document the
refusal in the client's medical record and notify the HCP
-an incident report is necessary for a medication error
-the nurse should follow protocols for discarding the medication. It is
not the role of the pharmacist to retrieve medications that a client
refuses to take
-the nurse should not give the client a scheduled medication to take at
home and then document that it was administered, because this
violates the ethical principle of accountability
A nurse at a clinic is providing follow-up care to a client who is
taking fluoxetine for depression. Which of the following findings
should the nurse identify as an adverse effect of the medication?
a. tingling toes
b. sexual dysfunction
c. absence of dreams
d. pica - ....ANSWER...b. sexual dysfunction
RATIONALE: -sexual dysfunction, including a decreased libido,
impotence, and delayed orgasm, or anorgasmia, is a common adverse
effect of fluoxetine and occurs in about 70% of clients who take this
SSRI antidepressant
-fluoxetine is an SSRI that can cause muscle twitching
-fluoxetine can cause CNS adverse effect including abnormal
dreaming, sedation, delusions, hallucinations, and psychosis
-fluoxetine can cause neurologic adverse effects such as agitation,
euphoria, and sedation [Show Less]
