ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A hospice nurse is caring for a client who has a fentanyl patch applied. The client appears restless and agitated. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer a dose of subcutaneous naloxone. Naloxone is an opioid antagonist that reverses the effects of opioids like fentanyl, which can cause restlessness and agitation if the client is experiencing opioid toxicity. Administering naloxone can help alleviate these symptoms by blocking the opioid receptors.
A: Administering morphine would not address the issue of opioid toxicity and could potentially worsen the client's condition.
C: Administering more fentanyl would exacerbate the symptoms as it would increase the opioid load.
D: Atropine is not indicated for opioid toxicity and would not address the underlying issue.
Question 2 of 5
A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?
Correct Answer: B
Rationale: The correct answer is B. Compiling a list of all medications the client is currently taking should be completed first in medication reconciliation to ensure accuracy. This step allows the nurse to have a comprehensive understanding of the client's current medication regimen. Documenting and sending the updated list to the pharmacy (
A) should come after compiling the list to ensure accuracy. Comparing preadmission medications to current medications (
C) and addressing discrepancies (
D) are important steps but should follow compiling the current medication list.
Question 3 of 5
A nurse is educating a client who has a new prescription for digoxin. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Check your heart rate 1 hour after taking the medication. This statement is important as digoxin can affect heart rate, and monitoring it helps assess for potential toxicity. Option A is incorrect because taking a missed dose could lead to overdose. Option B is unrelated to digoxin therapy. Option D is incorrect as visual changes are not an expected side effect of digoxin. It is crucial for nurses to prioritize patient safety by providing accurate and relevant information.
Question 4 of 5
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: A
Rationale: The correct answer is A: Nalbuphine. The nurse should clarify this prescription because nalbuphine is an opioid antagonist and may reduce the effectiveness of morphine in managing the client's pain. Acetaminophen (
B) is a mild pain reliever and can be safely used with morphine. Ondansetron (
C) is an antiemetic commonly given with opioids to manage nausea. Insulin glargine (
D) is used to control blood sugar levels and does not directly interact with morphine.
Question 5 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Dispose of the remaining medication while another nurse observes. This is the appropriate action because hydromorphone is a controlled substance, and it is crucial to follow proper disposal protocols to prevent misuse or diversion. By disposing of the remaining medication while another nurse observes, it ensures accountability and adherence to safety guidelines.
Choice A is incorrect because returning the medication to the pharmacy could lead to potential errors or misuse.
Choice C is incorrect as storing half a pill in the automated system could violate medication storage regulations.
Choice D is incorrect because placing a partial pill in a unit-dose package may not be allowed and could lead to dosing errors.