ATI RN
ATI RN Pharmacology 2019 II 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: B
Rationale: Fentanyl transmucosa provides rapid relief for breakthrough pain, suitable for cancer-related pain not controlled by IV morphine.
Question 2 of 5
A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Shaking the inhaler ensures proper mixing, a spacer improves delivery, and rinsing the mouth prevents oral candidiasis. Soaking the inhaler can damage it, and fluticasone is for maintenance, not rescue.
Question 3 of 5
A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?
Correct Answer: C
Rationale: Administering filgrastim too close to chemotherapy (within 24 hours) can increase bone pain and complications, warranting an incident report.
Question 4 of 5
A nurse is caring for a client who has heart failure and monitor when administering lisinopril?
Correct Answer: C
Rationale: Lisinopril, an ACE inhibitor, can cause hypotension, especially after the first dose or in heart failure clients, making blood pressure monitoring essential.
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: C
Rationale:
Total bilirubin of 1.5 mg/dL is elevated, suggesting possible liver dysfunction, which should be reported for a client on amitriptyline.