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ATI N211 Pharmacology Exam Questions

Extract:


Question 1 of 5

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

Correct Answer: A

Rationale:
Tolerance to opioids like morphine requires higher doses over time for the same pain relief, common in terminal cancer pain management. Confusion, improper use, or addiction are less likely explanations.

Question 2 of 5

A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: A

Rationale: Montelukast is taken once daily in the evening for maintenance therapy to control asthma symptoms. It is not a rescue medication, is taken orally (not inhaled), and does not require mouth rinsing like corticosteroids.

Question 3 of 5

A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?

Correct Answer: A

Rationale: Diazepam causes drowsiness, requiring caution with activities like driving. Tyramine is relevant for MAOIs, diazepam can be taken in various forms, and grapefruit juice increases, not inactivates, diazepam levels.

Question 4 of 5

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching?

Correct Answer: A

Rationale: Taking ibuprofen with food minimizes gastrointestinal irritation. It does not require refrigeration, tinnitus is associated with aspirin, and weight loss is not a common side effect.

Question 5 of 5

A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

Correct Answer: A

Rationale: Shaking the phenytoin suspension ensures proper mixing for accurate dosing. Mouth care, blood pressure checks, and fasting are not required.

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