ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following arthroscopy and reports a pain level of 6 on a scale of 0 to 10 after receiving ketorolac 1 hr ago. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer oxycodone 5 mg orally. Oxycodone is a stronger pain medication compared to ketorolac and is appropriate for moderate to severe pain. Since the client's pain level is still at 6 after receiving ketorolac, a stronger pain medication like oxycodone is indicated. Option A is incorrect because it does not address the client's uncontrolled pain. Option C is not the best choice as rectal administration may not provide quick relief. Option D is inappropriate and judgmental as it assumes the client is seeking drugs improperly without further assessment. Administering oxycodone is the most appropriate action based on the client's pain level and the need for effective pain management postoperatively.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will report a sore throat to my provider." This statement indicates understanding because prednisone can suppress the immune system, making the client more susceptible to infections like sore throat. Reporting any signs of infection promptly is crucial. The other choices are incorrect because: A - Prednisone should be taken with food to reduce stomach irritation. C - Prednisone can cause sodium retention, so increasing sodium intake is not recommended. D - Prednisone can cause weight gain, not weight loss.
Question 3 of 5
A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion. Which of the following steps should the nurse take first?
Correct Answer: C
Rationale:
Rationale: The nurse should first check the IV site for signs of infiltration before administering the antibiotic. This is crucial to ensure the client's safety and prevent potential complications such as tissue damage or infection. By assessing the IV site first, the nurse can identify any issues that may affect medication delivery. Hanging the antibiotic bag above the primary infusion, wiping the connection port, or connecting the tubing are all important steps but should only be done after confirming the IV site integrity. Checking the IV site is the priority to prevent harm to the client.
Question 4 of 5
A nurse administered ketorolac 30 mg IM to a client who is postoperative. Which of the following information should the nurse document?
Correct Answer: A,C,D,E
Rationale: The correct answer is A, C, D, and E.
A: The gauge and length of the needle are important to document to ensure proper administration and prevent complications.
C: Documenting the dose of medication administered is crucial for accurate record-keeping and monitoring for adverse effects.
D: Recording the site of injection is essential to track any local reactions or site-specific complications.
E: Documenting the time of administration is vital for ensuring the medication is given at the correct intervals and monitoring for any time-related effects.
Other choices are incorrect because:
B: The medication expiration date is not necessary to document in this situation as the focus is on the administration process and monitoring for effects.
Summary: Documenting the gauge and length of the needle, dose of medication, site of injection, and time of administration are key pieces of information to ensure proper administration and monitoring of ketorolac in a postoperative client.
Question 5 of 5
A nurse is collecting data from a client who has a new prescription for amoxicillin. Which of the following findings indicates that the client is having an allergic reaction to the medication?
Correct Answer: A
Rationale: The correct answer is A: Wheezing. Wheezing is indicative of an allergic reaction to amoxicillin, as it suggests bronchoconstriction and airway inflammation commonly seen in drug allergies. Bradycardia (
B) is not typically associated with allergic reactions. Polyuria (
C) is excessive urination and not a common symptom of drug allergies. Bruising (
D) is unrelated to an allergic reaction to amoxicillin.
Therefore, wheezing is the most relevant finding indicating an allergic reaction.