ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramidWhich of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Check the client's blood glucose. This is the first action the nurse should take because metformin is used to treat diabetes by lowering blood glucose levels, while metoclopramide is used to treat gastrointestinal issues. Checking the client's blood glucose will help determine if any adverse effects have occurred due to the incorrect medication administration. Reporting the incident to the charge nurse (
A), notifying the provider (
B), and filling out an incident report (
D) are important steps to take but should come after ensuring the client's immediate safety and well-being.
Question 2 of 5
A nurse is teaching a client about cyclobenzaprinWhich of the following client statements should indicate to the nurse that the teaching about cyclobenzaprine was effective?
Correct Answer: C
Rationale:
Correct Answer: C - "I will taper off the medication before discontinuing it."
Rationale: Tapering off cyclobenzaprine is important to prevent withdrawal symptoms due to its muscle relaxant properties. Abruptly stopping the medication can lead to rebound muscle spasms and other adverse effects.
Therefore, the client's statement of tapering off the medication before discontinuing it indicates understanding of the proper way to stop taking cyclobenzaprine.
Summary of other choices:
A: Increased saliva production is not a common side effect of cyclobenzaprine.
B: Continuing the medication until the rash disappears is not relevant to cyclobenzaprine use.
D: Reporting urinary incontinence is important but not specifically related to the teaching about cyclobenzaprine.
Question 3 of 5
Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism in a client taking haloperidol?
Correct Answer: B
Rationale: The correct answer is B: Shuffling gait. Pseudoparkinsonism is a side effect of haloperidol characterized by symptoms resembling Parkinson's disease. A shuffling gait, along with tremors, rigidity, and bradykinesia, are common manifestations. A serpentine limb movement (
A) is not typically associated with pseudoparkinsonism. Nonreactive pupils (
C) are more indicative of other conditions like opioid overdose. Smacking lips (
D) may suggest tardive dyskinesia, another side effect of antipsychotic medications.
Question 4 of 5
Which of the following medications puts the client at risk for developing hearing loss?
Correct Answer: D
Rationale: The correct answer is D: Gentamicin. Gentamicin is an aminoglycoside antibiotic known to cause ototoxicity, leading to hearing loss and balance issues. It damages the hair cells in the inner ear responsible for transmitting sound signals to the brain. Rifampin (
A), Ciprofloxacin (
B), and Penicillin G (
C) are not associated with ototoxicity. In summary, Gentamicin is the only medication listed that poses a risk of hearing loss due to its ototoxic effects on the inner ear.
Question 5 of 5
Which of the following actions of sucralfate should the nurse include in the teaching for a client who is to start a new prescription for sucralfate for peptic ulcer disease?
Correct Answer: C
Rationale: The correct answer is C: Forms a protective barrier over ulcers. Sucralfate works by forming a protective barrier over ulcers, providing a physical barrier against acid, pepsin, and bile salts. This helps to promote healing and relieve symptoms of peptic ulcer disease.
Choice A is incorrect because sucralfate does not directly decrease stomach acid secretion like proton pump inhibitors.
Choice B is incorrect because sucralfate does not neutralize acids in the stomach like antacids.
Choice D is incorrect because sucralfate does not treat ulcers by eradicating H. pylori bacteria like antibiotics.
Therefore, the nurse should emphasize to the client that sucralfate works by forming a protective barrier over ulcers to aid in healing.