ATI RN
ATI Pharmacology Final Exam I Questions
Extract:
Question 1 of 5
A nurse caring for a client is receiving hydromorphone HCL via PCA pump and reports continuous pain of 6 on a scale from 0 to 10. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Check the display on the pump. This is the first action the nurse should take because the pump display may provide important information such as the medication dose, delivery rate, and any potential errors or malfunctions. By checking the pump display, the nurse can ensure that the medication is being delivered properly and address any issues that may be contributing to the client's continued pain. Administering a bolus of medication (choice
A) without first assessing the pump settings could lead to overdose. Obtaining another pain medication (choice
C) should not be the first action as the current medication may still be effective if properly administered. Encouraging the client to administer a demand dose (choice
D) is not appropriate without first verifying the pump function.
Question 2 of 5
A client recently diagnosed with glaucoma is placed on a prostaglandin analogue. Which of the following medications would fall under the medication category prostaglandin analogue?
Correct Answer: B
Rationale: The correct answer is B: Bimatoprost. Prostaglandin analogues are a class of medication used to treat glaucoma by reducing intraocular pressure. Bimatoprost is a prostaglandin analogue commonly prescribed for glaucoma. Benadryl (
A) is an antihistamine, Clonazepam (
C) is a benzodiazepine used for anxiety, and Dicyclomine (
D) is an anticholinergic used for gastrointestinal conditions. None of these medications fall under the prostaglandin analogue category.
Question 3 of 5
A client who suffers from hypertension is prescribed propranolol. The nurse would educate the client on which side effects associated with this medication? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B: Bronchoconstriction. Propranolol is a non-selective beta-blocker that can lead to bronchoconstriction in patients with asthma or chronic obstructive pulmonary disease (COP
D) due to its effect on beta-2 receptors in the lungs. This can worsen respiratory conditions.
Choices A, C, D, and E are incorrect:
A: Masking of hypoglycemia - Propranolol can mask the signs of hypoglycemia (low blood sugar) by inhibiting the sympathetic response, but this is not a side effect that requires education.
C: Bradycardia - Propranolol can indeed cause bradycardia (slow heart rate), but this is a desired effect in patients with hypertension, not a side effect that necessitates education.
D: Coughing spells - Coughing spells are not a common side effect of propranolol and would not typically be a focus
Question 4 of 5
A client is receiving Total Parenteral Nutrition (TPN) while admitted in the inpatient setting. Which of the following conditions can occur if the nurse abruptly stops TPN?
Correct Answer: C
Rationale: The correct answer is C: Hypoglycemia. Stopping TPN abruptly can lead to a rapid decrease in glucose supply, causing hypoglycemia. TPN provides essential nutrients, including glucose, to maintain blood sugar levels. Abrupt discontinuation can result in a sudden drop in glucose levels. Diarrhea (
A) is not a direct consequence of stopping TPN. Hyperglycemia (
B) is unlikely since TPN cessation would not lead to an increase in blood sugar levels. Erythema at the insertion site (
D) is unrelated to TPN discontinuation.
Question 5 of 5
A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
Correct Answer: D
Rationale: The correct answer is D: Scatter rugs are present in the kitchen. This is a safety risk for the client with decreased vision due to glaucoma as they can easily trip over the rugs. Scatter rugs pose a significant fall risk, especially for individuals with impaired vision. The uneven surface and lack of secure placement can lead to accidents.
A: Using a microwave for cooking is not necessarily a safety risk for a client with decreased vision.
B: Handrails in the bathroom are actually a safety measure to prevent falls, so this is not a safety risk.
C: Placing electrical cords along the walls may not be ideal but is not as high-risk as scatter rugs for someone with decreased vision.
In summary, scatter rugs in the kitchen pose the most immediate safety risk due to the increased likelihood of falls, making it the correct answer.