ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 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: D
Rationale: The correct answer is D: Dispose of the remaining medication while another nurse observes. This is the appropriate action for the nurse to take because hydromorphone is a controlled substance, and any remaining portion of the tablet should not be saved or stored for future use. The presence of another nurse observing the disposal ensures accountability and adherence to proper medication administration protocols. Returning the medication to the pharmacy (
A), storing the remaining half of the pill in the automated system (
B), or placing it in the unit dose package (
C) are all incorrect as they do not align with safe medication handling practices for controlled substances. The key is to prevent diversion and ensure proper disposal under supervision.
Question 2 of 5
A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone?
Correct Answer: D
Rationale: The correct answer is D: Increased respiratory rate. Naloxone is an opioid antagonist that reverses the effects of opioids like morphine by blocking their receptors. Morphine can cause respiratory depression, so naloxone's therapeutic effect is to increase the client's respiratory rate. This helps prevent respiratory failure.
A: Nausea is not a direct effect of naloxone administration.
B: Naloxone does not provide additional pain relief but rather reverses the pain relief effects of opioids.
C: Naloxone may cause an increase in blood pressure due to its stimulatory effects on the cardiovascular system.
D: Increased respiratory rate is the correct therapeutic effect of naloxone.
E, F, G:
Choices are not provided.
Question 3 of 5
A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include?
Correct Answer: C
Rationale:
Rationale: The correct answer is C: You should take this medication before meals. Omeprazole is a proton pump inhibitor that works best when taken before meals to inhibit gastric acid secretion. Taking it before meals maximizes its effectiveness.
Choice A is incorrect because omeprazole can be taken with antacids if necessary.
Choice B is incorrect as there is no need to reduce calcium intake while taking omeprazole.
Choice D is incorrect because taking a second dose without consulting a healthcare provider can lead to an overdose.
Question 4 of 5
A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
Correct Answer: C
Rationale: The correct answer is C: Hyponatremia. When a client taking lithium starts a new exercise program, they are at risk for developing hyponatremia due to increased sweating and sodium loss. Hyponatremia can lead to symptoms such as confusion, muscle weakness, and seizures. Assessing for hyponatremia is crucial to prevent serious complications.
Choices A, B, and D are incorrect because they are not typically associated with lithium use or new exercise programs. Hypocalcemia (
A) is more commonly linked to thyroid or parathyroid issues. Hypokalemia (
B) is usually caused by diuretic use or gastrointestinal losses. Hypomagnesemia (
D) is often related to alcoholism or malnutrition.
Question 5 of 5
A nurse is assessing for allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?
Correct Answer: A
Rationale: The correct answer is A: Eggs. The influenza vaccine is typically produced using eggs, so individuals with egg allergies may have an adverse reaction to the vaccine. It is essential for the nurse to report an egg allergy as a possible contraindication to receiving the influenza vaccine to prevent any potential allergic reactions. Other choices such as shellfish, peanuts, and milk are not directly related to the influenza vaccine composition, therefore not considered contraindications for receiving the vaccine.