ATI RN
Pharmacology Final ATI Questions
Question 1 of 5
A 26-year-old man presents to the emergency department with severe right lower quadrant pain. Physical exam reveals rebound tenderness and decreased bowel sounds. An emergent appendectomy is performed. Postsurgically, he is given an NSAID along with morphine for pain control. Which of the following NSAIDs is commonly used as an adjunct to opioids postsurgically?
Correct Answer: D
Rationale: Post-appendectomy pain management often combines opioids like morphine with NSAIDs for synergy. Acetaminophen is an analgesic but not a true NSAID (lacks significant anti-inflammatory action). Celecoxib , a COX-2 inhibitor, is less common acutely due to cost and milder effect. Ibuprofen is effective but less potent parenterally. Ketorolac , a potent NSAID, is widely used postsurgically-available IV/IM, it reduces inflammation and pain, complementing morphine's central action. Naproxen (E) is oral, less ideal acutely. Ketorolac's rapid onset and efficacy in reducing opioid requirements make it standard. Its short-term use minimizes GI risks, aligning with surgical protocols, distinguishing it from other options for acute postoperative pain control.
Question 2 of 5
A patient is receiving TPN at home. The visiting nurse assists the family with the care plan, which includes changing the TPN solution and tubing. What is the recommended initial frequency for changing the tubing?
Correct Answer: A
Rationale: TPN tubing should be changed every 24 hours to prevent infection and maintain sterility. Longer intervals (B, C, D) increase the risk of bacterial contamination and sepsis.
Question 3 of 5
In severe renal failure:
Correct Answer: D
Rationale: In severe renal failure, the clearance of digoxin is reduced, requiring smaller maintenance doses to avoid toxicity.
Question 4 of 5
When teaching a patient about antihypertensive drug therapy, which statements by the nurse are correct? (Select all that apply.)
Correct Answer: A
Rationale: A. You need to have your blood pressure checked once a week and keep track of the readings. - This is correct because monitoring blood pressure regularly is essential to assess the effectiveness of antihypertensive drug therapy and make any necessary adjustments.
Question 5 of 5
A nurse is providing instructions to a client receiving baclofen (Lioresal). Which of the following would be included in the teaching plan?
Correct Answer: D
Rationale: Baclofen is a muscle relaxant used to treat spasticity. Weakness is a potential side effect and should be reported to the physician, as it may indicate an adverse reaction or the need for dose adjustment. Limiting fluid intake is not typically recommended, and holding the medication due to diarrhea is not a standard instruction. While alcohol can enhance the sedative effects of baclofen, the primary concern is monitoring for weakness, which could impact the patient's safety and mobility.