ATI RN
ATI RN Pharmacology 2023 Retake 2 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) known for its potent analgesic effect. For a postoperative client with moderate pain (pain level of 5), ketorolac is an appropriate choice as it can provide effective pain relief. IV administration ensures rapid onset of action, making it suitable for acute pain management. Morphine (
A) is a strong opioid and may be reserved for severe pain. Amitriptyline (
B) is a tricyclic antidepressant used for chronic pain conditions, not acute postoperative pain. Acetaminophen (
D) is a mild analgesic and may not be sufficient for moderate 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 prevent and treat nausea and vomiting.
Therefore, a decrease in nausea would indicate that the medication is effective in managing the client's symptoms. Increased urinary output (choice
A) is not directly related to the effectiveness of ondansetron. Reduced dizziness (choice
B) and absence of peripheral neuropathy (choice
C) are not common indicators of the drug's effectiveness in treating nausea. In summary, the primary goal of ondansetron is to reduce nausea, making choice D the most appropriate indication of its effectiveness in this scenario.
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. In an anaphylactic reaction, epinephrine is the drug of choice due to its rapid onset and vasoconstrictive effects which help reverse the symptoms. IM route ensures quick absorption. Giving diphenhydramine (
A) may be helpful for mild allergic reactions but is not as effective for anaphylaxis. Elevating legs (
B) is not a priority and may worsen the client's condition. Replacing IV fluid (
C) is not the immediate action needed.
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 during procedures like colonoscopies. It can cause respiratory depression by depressing the central nervous system. Monitoring the client's respiratory rate is crucial to detect any signs of hypoventilation or respiratory distress.
Choices A, B, and D are incorrect as propofol does not directly affect bowel function, heart rate, or body temperature. It is important for the nurse to prioritize respiratory monitoring to ensure the client's safety during and after the procedure.
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). By monitoring the WBC count, the nurse can assess the effectiveness of filgrastim in increasing the client's WBC levels, which is crucial for fighting infections. Monitoring other laboratory values such as INR (choice
B), BUN (choice
C), and potassium level (choice
D) would not directly evaluate the effectiveness of filgrastim in this context. INR is used to monitor blood clotting time, BUN assesses kidney function, and potassium level indicates electrolyte balance, none of which are directly related to the action of filgrastim on WBC production.