ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The client states his pain level is a 10 on a scale of 0-10. After reviewing the client's medication administration record, which of the following medications should the nurse administer?
Correct Answer: C
Rationale: The correct answer is C: Morphine 2 mg IV. Postoperative pain management is crucial for patient comfort and recovery. IV morphine is a potent opioid analgesic that provides quick and effective pain relief. The IV route allows for rapid onset of action, making it suitable for severe pain like in this case. Meperidine (choice
A) is not recommended due to its toxic metabolite accumulation risk. Fentanyl patch (choice
B) has a delayed onset and is not ideal for immediate pain relief. Oxycodone PO (choice
D) is a less potent oral option compared to IV morphine for severe pain.
Question 2 of 5
A nurse is teaching a client about taking multiple oral meds at home to include time-release capsules, liquid meds, enteric-coated pills, & narcotics. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will eat 2 crackers with the pain pills." This statement indicates an understanding of the teaching because taking narcotics with food, such as crackers, can help reduce stomach upset and nausea commonly associated with these medications. This demonstrates the client's awareness of the importance of food intake when taking certain medications.
Choice A is incorrect because opening a time-release capsule and sprinkling the beads on food can alter the medication's intended release mechanism.
Choice B is incorrect as mixing liquid meds with pudding may not ensure proper dosage or absorption.
Choice C is incorrect as crushing enteric-coated pills can interfere with their delayed-release properties.
Question 3 of 5
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct because flushing the jejunostomy tube before and after each medication helps prevent clogging and ensures proper delivery. Flushing clears the tube and ensures medication is fully administered.
Choice B is incorrect as medications should not be administered with enteral feedings to prevent interactions.
Choice C is incorrect as tablets should be crushed before administration.
Choice D is incorrect as crushed medications should be dissolved one at a time to avoid interactions.
Question 4 of 5
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the 1st-pass effect?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. The 1st-pass effect refers to the metabolism of a drug in the liver before it reaches systemic circulation.
2. Medications administered orally undergo first-pass metabolism in the liver, leading to potential inactivation.
3. Administering such meds through nonenteral routes (e.g., intravenous) bypasses the liver, avoiding inactivation.
4.
Choice A discusses receptor activity, not related to the first-pass effect.
5.
Choice C refers to drug elimination rate, not specific to the first-pass effect.
6.
Choice D discusses safety margin and monitoring, not directly related to drug metabolism.
Question 5 of 5
A nurse is teaching an adult client how to administer ear drops. Which of the following statements by the client indicates understanding of the proper technique?
Correct Answer: B
Rationale: The correct answer is B: "I will gently apply pressure with my finger to the tragus of my ear after putting in the drops." This statement indicates understanding of the proper technique because applying pressure to the tragus helps the ear drops to reach the ear canal. The tragus is a small cartilaginous projection in front of the ear canal that, when pressed, helps to facilitate the passage of the drops into the ear. This action ensures proper distribution of the medication for effective treatment.
Other choices are incorrect:
A: Pulling the ear down and back is a technique used for administering ear drops in children, not adults.
C: Inserting the nozzle snug into the ear can cause injury to the ear canal and eardrum.
D: Placing a cotton ball all the way into the ear canal can prevent the drops from reaching the ear canal and may cause blockage.