ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
Correct Answer: C
Rationale: Oxycodone is an opioid analgesic medication that acts primarily on the central nervous system (CNS) to relieve pain. One of the side effects of opioids like oxycodone is respiratory depression, where breathing becomes slow and shallow. This effect occurs because opioids suppress the activity of the respiratory centers in the brainstem, leading to decreased respiratory rate and depth.
Question 2 of 5
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: A
Rationale: Nalbuphine, a mixed opioid agonist-antagonist, can counteract morphine's effects, reducing pain relief and requiring clarification.
Question 3 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: B
Rationale: Dopamine is used in septic shock to increase blood pressure; hypotension indicates the infusion rate may need to be increased to achieve therapeutic effect.
Question 4 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: Administering insulin 1 hour before the scheduled time is a medication error that could affect the client's blood glucose levels and requires documentation via an incident report to ensure proper follow-up and prevent future occurrences.
Question 5 of 5
A nurse is caring for a client who started haloperidol five days ago and is experiencing neuroleptic malignant syndrome. Which of the following prescriptions should the nurse anticipate administering?
Correct Answer: C
Rationale: Bromocriptine, a dopamine agonist, is used to treat neuroleptic malignant syndrome by counteracting dopamine receptor blockade.