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 about cyclobenzaprine was effective?
Correct Answer: C
Rationale:
Correct Answer: C - "I will taper off the medication before discontinuing it."
Rationale: Tapering off cyclobenzaprine is important to prevent withdrawal symptoms due to its muscle relaxant properties. Abruptly stopping the medication can lead to rebound muscle spasms and other adverse effects.
Therefore, the client's statement of tapering off the medication before discontinuing it indicates understanding of the proper way to stop taking cyclobenzaprine.
Summary of other choices:
A: Increased saliva production is not a common side effect of cyclobenzaprine.
B: Continuing the medication until the rash disappears is not relevant to cyclobenzaprine use.
D: Reporting urinary incontinence is important but not specifically related to the teaching about cyclobenzaprine.
Question 2 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 3 of 5
A nurse is teaching a client about the prescribed medication. Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
Correct Answer: A, B, E,F
Rationale: The correct statements to include when teaching the client about the prescribed medication are A, B, E, and F.
A: The medication can cause nausea - It is important for the client to be aware of potential side effects like nausea so they can be prepared and report any concerns to their healthcare provider.
B: So take with a meal - Taking the medication with a meal can help reduce the risk of stomach upset or other gastrointestinal side effects.
E: Consumption of a high-protein meal can reduce the effectiveness of the medication - This is important information for the client to ensure they are taking the medication as prescribed for optimal effectiveness.
F: You may initially notice an increase in involuntary movements - This alerts the client to a possible side effect they may experience and should report to their healthcare provider.
The other choices are incorrect because they do not provide essential information about the medication or its potential side effects. C, D, and G are not necessary for the client to know in relation to the prescribed medication.
Question 4 of 5
Which of the following actions should the nurse take when observing infiltration of fluid into the tissue surrounding an IV insertion site?
Correct Answer: C
Rationale: The correct answer is C: Elevate the extremity. Elevating the extremity helps reduce swelling and minimize tissue damage caused by the infiltration of fluid. By elevating the extremity, gravity helps to prevent further spread of the infiltrated fluid into the surrounding tissue. This action promotes better circulation and aids in the reabsorption of the fluid back into the vascular system. Flushing the IV catheter (choice
A) may exacerbate the infiltration, applying pressure to the IV site (choice
B) can cause tissue damage, and slowing the infusion rate (choice
D) may not address the immediate issue of fluid infiltration.
Question 5 of 5
For which of the following adverse effects should the nurse instruct the client taking acetazolamide for chronic open-angle glaucoma to monitor and report?
Correct Answer: A
Rationale: The correct answer is A, tingling of fingers. Acetazolamide is a diuretic that can lead to electrolyte imbalances, such as hypokalemia, causing tingling sensations in the extremities. Constipation (
B) is not a common side effect of acetazolamide. Weight gain (
C) is unlikely as acetazolamide is a diuretic that typically causes fluid loss. Oliguria (
D) is not a typical adverse effect of acetazolamide, as it is more likely to increase urine output.