ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Question 1 of 5
A nurse manager is planning an in-service about pain management with opioids for clients who have cancer. Which of the following information should the nurse manager include?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Opioid tolerance develops with continued use, leading to a decrease in respiratory depression risk.
2. This knowledge is crucial for safe opioid administration in cancer patients.
3. Respiratory depression risk is a significant concern with opioid use.
4. Understanding the development of tolerance helps in monitoring and managing opioid side effects.
Summary:
A: IM administration is not necessarily recommended over PO opioids; routes should be individualized.
C: Meperidine is not the opioid of choice due to toxic metabolites and limited duration of action.
D: PRN medications should not be withheld; they are essential for effective pain management.
E, F, G: No information provided.
Question 2 of 5
A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because inserting the needle at least 5 cm from the umbilicus helps prevent injury to the underlying structures. It ensures proper administration of the medication into the subcutaneous tissue, reducing the risk of complications. Massaging the site after administering the medication (choice
A) is incorrect as it can cause bruising and discomfort. Using a 21-gauge needle (choice
B) is incorrect because a smaller gauge needle is typically recommended for subcutaneous injections. Aspirating before injecting the medication (choice
C) is unnecessary for subcutaneous injections as there are no major blood vessels in the subcutaneous tissue.
Question 3 of 5
A nurse is receiving a medication prescription by telephone from a provider. The provider states, 'Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.' How should the nurse transcribe the prescription in the client's medical record?
Correct Answer: A
Rationale: The correct answer is A: Morphine 6 mg IV push every 3 hr PRN acute pain. This transcription accurately reflects the provider's order by specifying the medication (morphine), dose (6 mg), route (IV push), frequency (every 3 hours), and indication (acute pain). Each element is essential for safe administration and documentation.
Option B (MSO) and Option C (MS) are incorrect because they do not specify morphine. Option D includes unnecessary decimal points, which could lead to dosing errors.
In summary, option A is the correct transcription as it accurately captures all the necessary details of the provider's order for safe medication administration.
Question 4 of 5
A nurse is reviewing the list of current medications for a client who is to start a prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?
Correct Answer: C
Rationale: The correct answer is C, the estrogen-progestin combination. Carbamazepine can decrease the effectiveness of hormonal contraceptives, such as estrogen-progestin combinations, leading to a potential decrease in contraceptive efficacy and an increased risk of unintended pregnancy. This interaction occurs because carbamazepine can induce the metabolism of estrogen and progestin components, reducing their blood levels.
Therefore, it is important for the nurse to recognize this interaction and advise the client to use alternative contraceptive methods while taking carbamazepine to prevent unintended pregnancy. The other choices (A, B, and
D) do not have significant interactions with carbamazepine and are not directly affected by its metabolism.
Question 5 of 5
A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended-release. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: You will need liver function tests before beginning therapy. This is crucial because lovastatin can potentially cause liver damage, so monitoring liver function is necessary to ensure the medication is safe for the client.
Choice B is incorrect because lovastatin does not interact with dairy products.
Choice C is incorrect as lovastatin extended-release should not be crushed.
Choice D is incorrect as there is no specific time requirement for taking lovastatin.