ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a client about cyclobenzaprinWhich of the following client statements should indicate to the nurse that the teaching is effective?
Correct Answer: C
Rationale:
Correct Answer: C - "I will taper off the medication before discontinuing it."
Rationale: Tapering off cyclobenzaprine is essential to prevent withdrawal symptoms due to its muscle relaxant properties. Abrupt discontinuation can lead to adverse effects. This statement shows understanding of the proper discontinuation process, indicating effective teaching.
Summary:
A: Increased saliva production is not a common side effect of cyclobenzaprine, so it does not demonstrate understanding of the medication.
B: Continuing the medication until the rash disappears is unrelated to cyclobenzaprine's use and does not reflect knowledge of proper medication management.
D: Reporting urinary incontinence is important, but not specific to cyclobenzaprine teaching. It does not indicate understanding of how to discontinue the medication properly.
Question 2 of 5
Which of the following medications for pain relief can be taken concurrently with enoxaparin?
Correct Answer: C
Rationale: The correct answer is C: Acetaminophen. Acetaminophen is a safe choice to take concurrently with enoxaparin because it does not have significant antiplatelet effects that could increase the risk of bleeding when used with enoxaparin. Ibuprofen, naproxen sodium, and aspirin are nonsteroidal anti-inflammatory drugs (NSAIDs) that can increase the risk of bleeding when used with enoxaparin due to their antiplatelet effects. It is important to avoid NSAIDs when taking enoxaparin. Acetaminophen, on the other hand, is not an NSAID and does not have the same antiplatelet effects, making it a safer option for pain relief in patients taking enoxaparin.
Question 3 of 5
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspneWhich of the following medications should the nurse administer first?
Correct Answer: C
Rationale: The correct answer is C: Epinephrine. Epinephrine is the first-line medication for anaphylaxis, which is a severe allergic reaction that can present with symptoms such as anxiety, hypotension, and difficulty breathing. Administering epinephrine promptly can help reverse these symptoms by constricting blood vessels, increasing heart rate, and opening up airways, thus improving blood pressure and breathing. Diphenhydramine (
A) is an antihistamine that can be used as an adjunct therapy but is not the first-line treatment for anaphylaxis. Albuterol inhaler (
B) is used for bronchospasm and would not address the hypotension. Prednisone (
D) is a corticosteroid that is used for its anti-inflammatory effects but is not the first choice for acute anaphylaxis.
Question 4 of 5
Which of the following medication prescriptions should the nurse identify as being complete?
Correct Answer: C
Rationale: The correct answer is C: Digoxin 0.25 mg PO daily. This prescription is complete because it includes the medication name (Digoxin), dose (0.25 mg), route (PO for orally), and frequency (daily). The dose is specific, and the frequency is clear.
Choice A (Tetracycline) lacks frequency information.
Choice B (Epoetin alfa) lacks route and frequency details.
Choice D (Cimetidine) lacks dose and frequency specifics.
Therefore,
Choice C is the only complete prescription as it includes all necessary information for safe and accurate administration.
Question 5 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.