ATI RN
ATI Pharmocology Exam Fletcher NRSG 106 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnaltrexone 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Using the proportion 8 mg/0.4 mL = 12 mg/x, solving gives x = 0.6 mL.
Question 2 of 5
The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?
Correct Answer: B
Rationale: Pepperoni contains tyramine, which can cause a hypertensive crisis with MAOIs, indicating a need for further teaching.
Question 3 of 5
While being intubated, a client with a head injury experienced bradycardia. Atropine was consequently administered. What assessment should be postponed until all atropine is excreted and no longer exerting an effect?
Correct Answer: C
Rationale: Atropine can alter brain stem reflexes (e.g., pupillary response, gag reflex), so assessment should be delayed until its effects subside.
Question 4 of 5
When evaluating a patient who is taking orlistat, which is an intended therapeutic effect?
Correct Answer: A
Rationale: Orlistat inhibits fat absorption, promoting weight loss as its primary therapeutic effect.
Question 5 of 5
The MedSurg nurse assesses a patient after arriving on the unit from the PACU. The patient states that she is in pain, rating the pain at a 7 out of 10. The nurse administers 4mg morphine IV as prescribed. After administering the drug, the PACU nurse calls to say a dose of morphine was given and not documented. What actions should the nurse perform? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Monitoring respiratory rate, reporting the error, informing the provider, and documenting the dose are critical to manage potential overdose and ensure patient safety.