ATI RN
ATI RN Pharmacology 2019 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Report swelling of the feet to your provider. This is important because lithium carbonate can cause fluid retention, leading to swelling in the feet. By reporting this symptom promptly, the healthcare provider can assess and adjust the medication dosage if necessary.
Choice A is incorrect because limiting foods containing tyramine is more relevant for clients taking MAOIs, not lithium carbonate.
Choice B is incorrect as lithium carbonate can increase thirst and urination, necessitating adequate sodium intake.
Choice C is incorrect because lithium carbonate should be taken with food to minimize gastrointestinal side effects.
Question 2 of 5
A nurse is caring for a 4-year-old child following an orthopaedic procedure. When assessing the child for pain, which of the following pain scales should the nurse use?
Correct Answer: A
Rationale: The correct answer is A: FACES. This pain scale is appropriate for children aged 4 and older as it uses facial expressions to indicate pain levels. Young children can easily point to the face that represents their pain intensity. It is widely used in pediatric settings due to its simplicity and effectiveness in assessing pain in non-verbal or young children. The other choices are not as suitable for a 4-year-old child post-orthopaedic procedure. B: Word-graphic and C: Numeric may be challenging for a young child to understand and communicate. D: CRIES is typically used for infants, not for a 4-year-old child.
Question 3 of 5
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?
Correct Answer: B
Rationale: The correct answer is B: The client has a negative sputum culture. This outcome indicates that the client is adhering to the medication regimen because a negative sputum culture suggests that the tuberculosis bacteria are not actively multiplying, indicating the effectiveness of the isoniazid and rifampin treatment. A negative sputum culture is a direct indicator of treatment success in tuberculosis.
Choice A is incorrect as HIV status is not directly related to medication adherence for TB treatment.
Choice C is incorrect as liver function test results being within the expected range do not necessarily indicate medication adherence.
Choice D is incorrect as a positive purified protein derivative test does not indicate adherence to the medication regimen, it only indicates exposure to the tuberculosis bacteria.
Question 4 of 5
A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: B
Rationale: The correct answer is B: Pruritus. Morphine, when administered via epidural infusion, can lead to pruritus (itching) as a common adverse effect due to its action on the central nervous system. It does not typically cause gastric bleeding (choice
A), cough (choice
C), or tachypnea (choice
D). Pruritus is a known side effect of opioids, including morphine, and is important to monitor as it can lead to discomfort and potential skin breakdown. Monitoring for pruritus allows for timely interventions to alleviate the symptom and improve patient comfort.
Question 5 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Dispose of the remaining medication while another nurse observes. This is appropriate to ensure proper disposal and prevent any potential misuse or errors. Storing the remaining half in the automated system (
A) can lead to confusion or misuse. Returning the medication to the pharmacy (
C) may not be allowed due to contamination risks. Placing the remaining half in a unit-dose package (
D) can lead to dosing errors.