ATI RN
ATI Pharmocology Exam Fletcher NRSG 106 Questions
Extract:
Question 1 of 5
A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of 7 breaths/minute. The nurse prepares for which priority action at this time?
Correct Answer: D
Rationale: Lethargy and shallow respirations suggest opioid overdose, requiring naloxone to reverse the effects.
Question 2 of 5
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Phenytoin is a long-term therapy for seizure control; stopping it abruptly can cause rebound seizures, indicating a need for further education.
Question 3 of 5
A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?
Correct Answer: B
Rationale: Methadone, an opioid agonist, is used to manage opioid withdrawal symptoms and support long-term dependence treatment.
Question 4 of 5
The opioid acetaminophen/hydrocodone is prescribed for a patient who has had surgery. The nurse informs the patient that which common adverse effects can occur with this medication? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Opioids like hydrocodone commonly cause constipation, lightheadedness, and urinary retention due to their effects on the GI, CNS, and urinary systems.
Question 5 of 5
A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy. He tells the nurse that he feels tense and that the least little thing bothers him now. Which is the correct explanation for this problem?
Correct Answer: C
Rationale: Phenobarbital reduces REM sleep, leading to irritability and difficulty coping with stress.