ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension. and dyspneWhich of the following medications should the nurse administer first?
Correct Answer: C
Rationale: The correct answer is C: Epinephrine. Epinephrine is a potent vasoconstrictor and bronchodilator, which helps reverse hypotension and dyspnea, potentially caused by an allergic reaction to cefazolin. Administering epinephrine first is crucial to address the life-threatening symptoms. Diphenhydramine (choice
A) is an antihistamine that can help with itching but is not as urgent. Albuterol inhaler (choice
B) treats bronchospasm but doesn't address hypotension. Prednisone (choice
D) is a corticosteroid that may be used later for inflammation but is not the first-line treatment for acute symptoms.
Question 2 of 5
Which of the following over-the-counter medications should the nurse identify that the client should discontinue when starting lithium?
Correct Answer: B
Rationale: The correct answer is B: Ibuprofen. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAI
D) that can increase lithium levels, leading to toxicity. The inhibition of prostaglandin synthesis by NSAIDs reduces lithium clearance. As a result, concurrent use of lithium and ibuprofen should be avoided. Aspirin (choice
A) is not contraindicated with lithium. Famotidine (choice
C) and Bisacodyl (choice
D) do not interact significantly with lithium.
Question 3 of 5
Which of the following findings is the best indication that morphine has been effective?
Correct Answer: D
Rationale: The correct answer is D: The client rates pain as 3 on a scale from 0 to 10. This is the best indication that morphine has been effective because pain relief is the primary goal of administering morphine. A pain rating of 3 indicates that the medication has successfully reduced the client's pain level. Vital signs being within normal limits (choice
A) may not necessarily indicate pain relief. The client not requesting additional medication (choice
B) could be due to other factors such as fear of side effects. The client sitting comfortably with eyes closed (choice
C) is subjective and may not always correlate with pain relief.
Therefore, choice D is the most objective and reliable indicator of morphine effectiveness.
Question 4 of 5
Which of the following information should the nurse include in the teaching about medication reconciliation?
Correct Answer: C
Rationale:
Rationale: Option C is correct because a transition in care, such as admission or discharge, necessitates medication reconciliation to ensure patient safety. This process involves comparing the medications a patient is currently taking with newly prescribed medications. Option A is incorrect as medication reconciliation is a collaborative effort involving healthcare providers, not just the client's provider. Option B is incorrect because medication reconciliation should encompass all medications the client is taking, not just those ordered at discharge. Option D is incorrect as medication reconciliation should include details like dosages and frequencies, not just names.
Question 5 of 5
Which of the following information should the nurse manager include in the in-service about pain management with opioids for clients who have cancer?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. As opioid tolerance develops, respiratory depression decreases due to the body adapting to the medication.
2. This information is crucial for safe opioid administration and monitoring for potential adverse effects.
3. Option A is incorrect as IM administration should not be recommended as a first-line choice over PO opioids.
4. Option C is incorrect as meperidine is not the opioid of choice for treating chronic pain due to its toxic metabolite accumulation.
5. Option D is incorrect as PRN pain medication should not be withheld for clients on scheduled opioids to ensure adequate pain control.