RN ATI PHARMACOLOGY PROCTORED EXAM
NEWEST 2023 2 VERSIONS EACH VERSION
WITH 70 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED
... [Show More] ANSWERS) |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
A nurse is preparing to administer PO sodium polystyrene sulfonate
to a client who has hyperkalemia. Which of the following actions
should the nurse plan to take?
a. hold the client's other oral medication for 8 hr post administration
b. inform the client that his medication can turn stool a light tan color
c. keep the client's solution in the refrigerator for up to 72 hours
d. monitor the client for constipation - ....ANSWER...d. monitor the
client for constipation
RATIONALE: -the nurse should monitor the client for the adverse
effect of constipation and report it to the provider because this can
lead to fecal impaction
-the nurse should hold the client's other medications for 6 hr before
and after administration of sodium polystyrene sulfonate
-sodium polystyrene sulfonate will not alter the color of the client's
stool and is stable for 24 hr when refrigerated
A nurse is preparing to administer a scheduled antibiotic at 0800 to a
client and discovers the antibiotic is not present in the client's
medication drawer. The nurse should identify that administration of
the medication can occur at which of the following time periods
without requiring an incident report?
a. 1000
b. 0900
c. 0830
d. 1200 - ....ANSWER...c. 0830
RATIONALE:-the nurse should identify that an antibiotic can be
administered 30 min before or after the scheduled time to maintain
therapeutic blood levels without requiring an incident report
A nurse is planning care for a client who is prescribed
metoclopramide following bowel surgery. For which of the following
adverse effects should the nurse monitor?
a. muscle weakness
b. sedation
c. tinnitus
d. peripheral edema - ....ANSWER...b. sedation
RATIONALE: -metoclopramide has multiple CNS adverse effects,
including dizziness, fatigue, and sedation
-metoclopramide is a central dopamine receptor antagonist that
increased GI motility and prevents nausea. Tardive dyskinesia is an
adverse effect of metoclopramide
A nurse is teaching a client who is to start taking hydrocodone with
acetaminophen tablets for pain. Which of the following information
should the nurse include in the teaching?
a. the medication should be taken 1 hr prior to eating
b. it takes 48 hr for therapeutic effects to occur
c. tablets should not be crushed or chewed
d. decreased respirations might occur - ....ANSWER...d. decreased
respirations might occur
RATIONALE: -the nurse should instruct the client that hydrocodon [Show Less]