ATI RN
ATI RN 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: Answer C is correct because oxycodone, an opioid analgesic, causes central nervous system depression, which can lead to respiratory depression. Opioids act on the brainstem, decreasing the sensitivity of the respiratory center to carbon dioxide levels, resulting in decreased respiratory rate.
Choices A, B, and D are incorrect because they do not directly relate to the respiratory depression caused by oxycodone. Opioids do not inhibit prostaglandin synthesis (
Choice
A), block sodium channels (
Choice
B), or promote vasodilation of cranial arteries (
Choice
D) in a way that directly affects respiratory rate.
Extract:
Nurses' Notes
Provider Prescriptions
0900:
The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year. Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn. 2 Days Later:
Provider reviewed laboratory results and prescription written.
Question 2 of 5
For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided.
| Options | Understanding | No Understanding |
|---|---|---|
| I should avoid taking antacids while on this medication. | ||
| If I experience black stools, I should notify my provider. | ||
| I should rinse my mouth after taking this medication. | ||
| I should take this medication with orange juice. | ||
| I should take my medication on an empty stomach.†|
Correct Answer: A (Understanding), B (No Understanding), C (Understanding), D (Understanding), E (Understanding)
Rationale: The correct answer is:
Explanation:
A: "I should avoid taking antacids while on this medication." - This is correct as antacids can interfere with the absorption of certain medications.
B: "If I experience black stools, I should notify my provider." - This indicates no understanding as black stools can be a sign of gastrointestinal bleeding, which should be reported.
C: "I should rinse my mouth after taking this medication." - This is correct as rinsing the mouth can help prevent side effects like oral thrush.
D: "I should take this medication with orange juice." - This is incorrect as certain medications may interact with citrus juices like orange juice.
E: "I should take my medication on an empty stomach." - This is correct for some medications that require specific conditions for absorption.
Therefore, options A, C, D, and E show understanding of the teaching, while option B shows no understanding
Extract:
Nurses' Notes
Laboratory Results
Day 1:
Temperature 36.9°C (98.4" F)
Heart rate 78/min
Blood pressure 118/76 mm Hg
Respiratory rate 18/min
Day 14:
Temperature 36.3" C (97.4" F)
Heart rate 86/min
Blood pressure 110/66 mm Hg
Respiratory rate 16/min
Question 3 of 5
Click to highlight the findings that require immediate follow-up.
Correct Answer: A,B,C,D
Rationale: The correct answer is A, B, C, and D. A, mild headaches, could indicate a potential neurological issue. B, severe nausea and vomiting, may signify a serious gastrointestinal problem. C, difficulty remembering medication times, is a cognitive concern. D, low sodium levels, can lead to various health complications. These findings require immediate follow-up to address potential health risks. Other choices (E, F, G) are left blank as they are not relevant to the immediate health concerns highlighted in the question.
Extract:
Vital Signs
Provider Prescriptions
Nurses' Notes
Day 1:
Temperature 36.2° C (97.2° F) Respiratory rate 18/min
Heart rate 74/min
Blood pressure 118/68 mm Hg SPO2 96% on room air
Day 7:
Temperature 36.9°C (98.4" F) Heart rate 86/min
Respiratory rate 18/min Blood pressure 98/66 mm Hg SPO2 97% on room air
Question 4 of 5
Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale:
To determine the correct statements to include when teaching the client about the prescribed medication, the nurse must consider potential side effects, precautions, and interactions.
A: Taking the medication with a meal can help reduce nausea, promoting adherence.
B: Orthostatic hypotension is a common side effect; advising the client to stand up slowly is crucial.
C: Increase in involuntary movements may indicate adverse effects and require immediate medical attention.
D: High protein meals can reduce absorption of certain medications, affecting effectiveness.
E: Vivid nightmares are a possible side effect that should be monitored and reported to the healthcare provider.
In summary, these statements are crucial for promoting medication effectiveness, preventing adverse reactions, and ensuring client safety.
Extract:
Question 5 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: D
Rationale: The nurse should clarify the prescription for nalbuphine with the provider because it is an opioid agonist-antagonist analgesic. Combining nalbuphine with morphine can lead to opioid withdrawal symptoms or reduced analgesic effects. Insulin glargine is a long-acting insulin, acetaminophen is a non-opioid analgesic, ondansetron is an antiemetic used to prevent nausea and vomiting.
Therefore, choices A, B, and C do not pose a significant risk of interaction with morphine.