ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol.Which of the following actions should the nurse take first when discovering a medication error in which atenolol was given instead of allopurinol to a client with gout?
Correct Answer: A
Rationale: The correct action the nurse should take first when discovering the medication error of atenolol instead of allopurinol in a client with gout is to obtain the client's blood pressure. This is because atenolol is a beta-blocker commonly used to treat hypertension, and its administration may lower the client's blood pressure.
Therefore, checking the client's blood pressure is crucial to assess any potential adverse effects of atenolol. Contacting the client's provider (choice
B) can be done after ensuring the client's safety by checking blood pressure. Informing the charge nurse (choice
C) can be the next step to report the error. Completing an incident report (choice
D) is important but should not be the first action as immediate client assessment takes priority.
Question 2 of 5
A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication that the morphine has been effective?
Correct Answer: D
Rationale: The correct answer is D: The client rates pain as 3 on a scale from 0 to 10. This is the best indication that the morphine has been effective because pain relief is the primary goal of administering morphine. A pain rating of 3 indicates a decrease in pain intensity, showing that the medication is working.
A: The client's vital signs being within normal limits does not directly indicate the effectiveness of pain management.
B: The client not requesting additional medication could be due to various reasons other than effective pain relief.
C: The client resting comfortably with eyes closed may suggest relaxation but does not necessarily reflect pain relief.
In summary, the other choices do not directly measure pain relief, unlike the client's self-reported pain rating.
Question 3 of 5
Which of the following interventions should the nurse include in the plan of care for a client who has hypertension and is to start taking metoprolol?
Correct Answer: B
Rationale: The correct answer is B: Determine apical pulse prior to administering. Metoprolol is a beta-blocker that can cause bradycardia as a side effect. By assessing the client's apical pulse before administering the medication, the nurse can monitor for any signs of bradycardia and adjust the dosage if necessary. Weighing the client weekly (choice
A) is not directly related to metoprolol administration. Administering the medication before breakfast (choice
C) may be a general recommendation for some medications but is not specific to metoprolol. Monitoring for jaundice (choice
D) is not a common side effect of metoprolol.
Question 4 of 5
A nurse is teaching a client about cyclobenzaprinWhich of the following client statements should indicate to the nurse that the teaching is effective?
Correct Answer: C
Rationale:
Correct Answer: C - "I will taper off the medication before discontinuing it."
Rationale: Tapering off cyclobenzaprine is essential to prevent withdrawal symptoms due to its muscle relaxant properties. Abrupt discontinuation can lead to adverse effects. This statement shows understanding of the proper discontinuation process, indicating effective teaching.
Summary:
A: Increased saliva production is not a common side effect of cyclobenzaprine, so it does not demonstrate understanding of the medication.
B: Continuing the medication until the rash disappears is unrelated to cyclobenzaprine's use and does not reflect knowledge of proper medication management.
D: Reporting urinary incontinence is important, but not specific to cyclobenzaprine teaching. It does not indicate understanding of how to discontinue the medication properly.
Question 5 of 5
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol.Which of the following actions should the nurse take first when discovering a medication error in which atenolol was given instead of allopurinol to a client with gout?
Correct Answer: A
Rationale: The correct action the nurse should take first when discovering the medication error of atenolol instead of allopurinol in a client with gout is to obtain the client's blood pressure. This is because atenolol is a beta-blocker commonly used to treat hypertension, and its administration may lower the client's blood pressure.
Therefore, checking the client's blood pressure is crucial to assess any potential adverse effects of atenolol. Contacting the client's provider (choice
B) can be done after ensuring the client's safety by checking blood pressure. Informing the charge nurse (choice
C) can be the next step to report the error. Completing an incident report (choice
D) is important but should not be the first action as immediate client assessment takes priority.