ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Enteric-coated medications are designed to be swallowed whole and should not be chewed. The nurse should place the medication on the client's tongue and instruct them to swallow it whole with a glass of water. Dissolving enteric-coated oral medication in any liquid alters their effectiveness and potentially cause adverse effects. This action is not suitable for enteric-coated medications and may interfere with their effectiveness.
Question 2 of 5
A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
Correct Answer: A
Rationale: Only the client should operate the PCA pump to ensure self-administration within prescribed limits. Pain assessment should be more frequent, and the client's pain level should be assessed as needed, not on a fixed schedule. Morphine PCA allows the client to self-administer a predetermined dose, minimizing the risk of overdose or toxicity. Constipation, not diarrhea, is a common adverse effect of opioid medications, including morphine.
Question 3 of 5
A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: While diarrhea is a concern, it is a common side effect of vancomycin and may not be the highest priority. Elevated white blood cell count may indicate infection but is not directly related to vancomycin therapy. Elevated creatinine suggests kidney impairment, a potential side effect of vancomycin. This is a critical finding that needs immediate attention. An elevated heart rate can be a side effect of vancomycin but is not as immediately concerning as renal impairment.
Question 4 of 5
A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The nurse should expect sedation as a finding in a client who has taken an overdose of oxycodone, as this medication can cause respiratory depression, drowsiness, and coma in high doses. Opioid overdose typically leads to bradycardia, not tachycardia. Opioid overdose can cause miosis (constricted pupils), not dilated pupils. Opioid overdose can result in respiratory depression, leading to bradypnea rather than tachypnea.
Question 5 of 5
A nurse administered ketorolac 30 mg IM to a client who is postoperative. Which of the following information should the nurse document? (Select all that apply.)
Correct Answer: B,D,E
Rationale: This information is not typically documented after administration. Documenting the site of injection is important for monitoring any local reactions or complications. While the nurse should be aware of this information during administration, it is not typically documented after administration. Documenting the time of administration is essential for tracking the medication schedule and monitoring for any adverse effects. Documenting the dose administered is crucial for accurate record-keeping and ensuring patient safety.