ATI RN
ATI RN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer pain medication to a postoperative client who had a total knee replacement and reports pain as 5 on a scale of 0 to 10. Which of the following PRN medications should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C: Ketorolac 15 mg IV. Ketorolac is a nonsteroidal anti-inflammatory drug (NSAI
D) that is effective for moderate to severe pain, like that experienced post knee replacement surgery. It provides potent analgesic effects by inhibiting the production of prostaglandins, which are mediators of pain and inflammation. The IV route ensures rapid onset of action, making it suitable for immediate pain relief. Morphine (
A) is a strong opioid used for severe pain but has more side effects and potential for dependency. Amitriptyline (
B) is a tricyclic antidepressant used for neuropathic pain, not acute postoperative pain. Acetaminophen (
D) is a mild analgesic suitable for mild pain relief, not sufficient for postoperative pain.
Question 2 of 5
A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the ondansetron is effective?
Correct Answer: D
Rationale: The correct answer is D: Decreased nausea. Ondansetron is an antiemetic medication used to treat nausea and vomiting.
Therefore, a decrease in nausea indicates that the medication is effective in managing the client's symptoms. Increased urinary output (
A) is not a direct effect of ondansetron and is not a reliable indicator of its effectiveness. Reduced dizziness (
B) and absence of peripheral neuropathy (
C) are not specific to the action of ondansetron and do not directly relate to its effectiveness in treating nausea.
Question 3 of 5
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Administer epinephrine IM. Epinephrine is the first-line treatment for anaphylaxis due to its rapid onset of action and ability to reverse severe allergic reactions. The nurse should administer it promptly to prevent further complications. Elevating the legs (
B) is not recommended as it does not address the anaphylactic reaction. Giving diphenhydramine (
A) may help with itching and hives but is not as effective or rapid as epinephrine. Replacing the infusion (
C) is important but not the immediate priority in managing anaphylaxis.
Question 4 of 5
A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication commonly used for anesthesia. It can cause respiratory depression by depressing the central nervous system. The nurse should monitor the client for signs of decreased respiratory rate, such as shallow breathing or hypoventilation, which can lead to hypoxia. Monitoring respiratory rate is crucial to prevent respiratory complications.
Incorrect Options:
A: Increase in bowel function - Propofol does not affect bowel function.
B: Increase in heart rate - Propofol typically causes a decrease in heart rate due to its sedative effects.
D: Decrease in body temperature - Propofol does not directly affect body temperature.
Question 5 of 5
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
Correct Answer: A
Rationale: The correct answer is A: WBC count. Filgrastim is a medication that stimulates the production of white blood cells (WBCs).
Therefore, monitoring the WBC count is essential to evaluate the effectiveness of the treatment. An increase in WBC count indicates the medication is working to boost the immune system. INR (
B) is not relevant as it measures blood clotting time. BUN (
C) assesses kidney function, not related to filgrastim. Potassium level (
D) is important but not specific to evaluating filgrastim effectiveness.