ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer?
Correct Answer: D
Rationale: The correct answer is D: Fentanyl transmucosal. Fentanyl is a potent opioid analgesic that can be used for breakthrough pain in cancer patients already on around-the-clock opioid therapy like morphine. Fentanyl transmucosal provides rapid pain relief, making it suitable for managing sudden onset pain. Naloxone (
A) is an opioid antagonist used to reverse opioid overdose, not for routine pain management. Morphine tablet (
B) is not ideal for immediate pain relief due to slower onset. Lidocaine patch (
C) is used for localized pain, not systemic pain relief like in this case.
Therefore, fentanyl transmucosal is the most appropriate choice for managing the client's pain effectively.
Extract:
Provider Prescrptions
2 deys later
Ferrous sufate 325 mg PO every other cay. Laboratory Results
0930hrs
Feman 7 agiml (1012 150 ngrmi)
Iron 45 meg/dL (60 to 160 megrdl)
Hemagiobin
Question 2 of 5
For each of the following client statements, click to specify whether the statement indicates an understanding or no understanding of the teaching.
| Client Statement | Understanding | No understanding |
|---|---|---|
| If I experience black stools, I should notify my provider. | ||
| I should rinse my mouth after taking this medication. | ||
| I should avoid taking antacids while on this medication. | ||
| I should take this medication with orange juice. | ||
| I should take my medication on an empty stomach. |
Correct Answer: D
Rationale: [0, 0, 0, 1]
Client Statement D states, "I should take this medication with orange juice." This statement is incorrect for most medications as citrus juices like orange juice can interact with medications.
Therefore, choosing this option indicates no understanding. The other statements do not directly relate to medication instructions, so they should not be selected.
Extract:
Question 3 of 5
A nurse Is evaluating the laboratory results of four clents. The nurse should report which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. An aPTT of 90 seconds is above the therapeutic range (30-40 seconds) for a client on heparin, indicating a risk of bleeding due to excessive anticoagulation. The nurse should report this to the provider for further evaluation and potential adjustment of the heparin dosage to ensure the client's safety.
Choice B is incorrect as an aPTT of 65 seconds falls within the therapeutic range for heparin, so it does not require immediate reporting.
Choices C and D are related to warfarin therapy, not heparin. An INR of 3.0 in choice C is above the therapeutic range (0.8-1.1) and requires reporting, as it indicates a risk of bleeding. An INR of 2.0 in choice D is within the therapeutic range and does not need immediate reporting.
In summary, the nurse should report the laboratory result in choice A because it indicates a
Question 4 of 5
A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer?
Correct Answer: C
Rationale: The correct answer is C: Colesevelam (Welchol). Colesevelam is a bile acid sequestrant used to lower cholesterol levels by binding to bile acids in the intestines, preventing their reabsorption, and promoting their excretion in the feces. This ultimately reduces the total cholesterol levels in the body. Colchicine (
A) is used to treat gout and familial Mediterranean fever, not high cholesterol. Cimetidine (
B) is an H2 blocker used to reduce stomach acid production. Chlorpromazine (
D) is an antipsychotic medication.
Therefore, choices A, B, and D are incorrect for the treatment of high cholesterol.
Question 5 of 5
A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A:
Total bilirubin 1.5 mg/dL. Amitriptyline can cause hepatotoxicity, leading to increased bilirubin levels. Elevated bilirubin can indicate liver dysfunction, necessitating immediate reporting to the provider for further evaluation.
Choices B, C, and D are within normal ranges and not directly affected by amitriptyline use.