ATI RN
ATI Nurs 180 Phamacology Questions
Extract:
Question 1 of 5
A nurse is caring for four clients. After administering morning medications, she realizes that a drug prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assessing the client's vital signs first determines any immediate effects of the medication error, guiding subsequent actions like notifying the provider.
Question 2 of 5
A nurse is caring for an older adult client. The nurse should recognize that which of the following considerations apply to older adults and pharmacology?
Correct Answer: B,C,E
Rationale: Older adults face increased drug toxicity risk due to reduced liver and kidney function, are prone to polypharmacy, and may have delayed absorption due to GI changes.
Question 3 of 5
A nurse is caring for four clients. After administering morning medications, she realizes that a drug prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assessing the client's vital signs first determines any immediate effects of the medication error, guiding subsequent actions like notifying the provider.
Question 4 of 5
The nurse is preparing to administer medications to a 54-year old client. Which medications taken would be affected by the first-pass effect?
Correct Answer: C,E,F
Rationale: Oral medications like famotidine, acetaminophen, and diphenhydramine undergo first-pass metabolism in the liver, reducing bioavailability. Sublingual and IV routes bypass this effect.
Question 5 of 5
A nurse reads in a drug information guide that PO morphine has a high first-pass effect. Which of the following would the nurse expect?
Correct Answer: A
Rationale: Due to the high first-pass effect, oral morphine is extensively metabolized by the liver, reducing bioavailability. Nonenteral routes (e.g., IV) bypass this, increasing effectiveness.