ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemiWhich of the following actions should the nurse plan to take?
Correct Answer: D
Rationale:
Correct Answer: D. Monitor the client for constipation.
Rationale: Sodium polystyrene sulfonate can lead to constipation as a side effect, which can be a serious issue if not managed promptly. Monitoring the client for constipation post-administration is crucial to prevent any complications.
Summary of other choices:
A: Holding the client's other oral medications for 1 hour post-administration is not necessary as sodium polystyrene sulfonate does not interact with other medications in this way.
B: Informing the client about stool color change is important, but not the immediate action needed post-administration.
C: Keeping the client's solution in the refrigerator is not relevant to the immediate administration or monitoring of the client.
E, F, G: No additional options provided.
Question 2 of 5
Which of the following findings should the nurse report to the provider as an adverse effect of gentamicin?
Correct Answer: B
Rationale: The correct answer is B: Tinnitus. Gentamicin is known to cause ototoxicity, which can manifest as tinnitus (ringing in the ears). This adverse effect should be reported to the provider promptly to prevent further damage. Constipation (
A), hypoglycemia (
C), and joint pain (
D) are not typically associated with gentamicin use. Reporting tinnitus is crucial to prevent permanent hearing loss.
Question 3 of 5
Which of the following information should the nurse manager include in the in-service about pain management with opioids for clients who have cancer?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. As opioid tolerance develops, respiratory depression decreases due to the body adapting to the medication.
2. This information is crucial for safe opioid administration and monitoring for potential adverse effects.
3. Option A is incorrect as IM administration should not be recommended as a first-line choice over PO opioids.
4. Option C is incorrect as meperidine is not the opioid of choice for treating chronic pain due to its toxic metabolite accumulation.
5. Option D is incorrect as PRN pain medication should not be withheld for clients on scheduled opioids to ensure adequate pain control.
Question 4 of 5
Which of the following information should the nurse include in the teaching for a school-age child with a new prescription for a fluticasone metered-dose inhaler? (Select all that apply)
Correct Answer: E
Rationale: The correct answer is E: Rinse your child's mouth following administration. Fluticasone, a corticosteroid inhaler, can cause oral thrush as a side effect. Rinsing the mouth after inhaler use helps reduce the risk of developing thrush. This is important to include in teaching to ensure the child's safety and adherence to proper medication administration.
Choice A is incorrect because soaking the inhaler in water can damage the device.
Choice B is incorrect as fluticasone should be taken regularly as prescribed, not just as needed for shortness of breath.
Choice C is incorrect as shaking the inhaler is not necessary for a metered-dose inhaler.
Choice D is incorrect because while a spacer can be beneficial for some inhalers, it is not specifically mentioned for fluticasone inhalers in this scenario.
Question 5 of 5
A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramidWhich of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Check the client's blood glucose. This is the first action the nurse should take because metformin is used to treat diabetes by lowering blood glucose levels, while metoclopramide is used to treat gastrointestinal issues. Checking the client's blood glucose will help determine if any adverse effects have occurred due to the incorrect medication administration. Reporting the incident to the charge nurse (
A), notifying the provider (
B), and filling out an incident report (
D) are important steps to take but should come after ensuring the client's immediate safety and well-being.