ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
For which of the following client outcomes should the nurse administer chlordiazepoxide to a client experiencing acute alcohol withdrawal?
Correct Answer: D
Rationale: The correct answer is D: Prevent delirium tremens. Chlordiazepoxide is a benzodiazepine used to manage acute alcohol withdrawal symptoms, including preventing the development of delirium tremens, a severe, life-threatening complication. It works by calming the central nervous system and reducing the risk of seizures and hallucinations associated with alcohol withdrawal.
Choices A, B, and C are incorrect as chlordiazepoxide does not directly address diaphoresis, maintaining abstinence, or lessening cravings. These outcomes are more related to behavioral and psychological interventions rather than pharmacological management of alcohol withdrawal symptoms.
Question 2 of 5
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to obtain the client's blood pressure (
Choice
A). This is important because atenolol is a beta-blocker used for high blood pressure, and if the client received it in error, their blood pressure may be affected. Monitoring the blood pressure can help assess the client's current condition and any potential adverse effects from the medication error. Contacting the client's provider (
Choice
B) should be done after assessing the client's condition. Informing the charge nurse (
Choice
C) and completing an incident report (
Choice
D) are important steps but should follow the immediate assessment of the client's condition.
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 findings should indicate to the nurse that a client with myasthenia gravis taking neostigmine is experiencing an adverse effect?
Correct Answer: D
Rationale: The correct answer is D: Miosis. Neostigmine is a cholinesterase inhibitor used to treat myasthenia gravis by increasing acetylcholine levels. Miosis, or pinpoint pupils, is a common adverse effect of cholinergic stimulation. Tachycardia (
A) is not typically associated with neostigmine use and can be a sign of sympathetic overactivity. Oliguria (
B) is not a common adverse effect of neostigmine and can be indicative of kidney issues. Xerostomia (
C) is dry mouth and is more commonly seen with anticholinergic medications.
Question 5 of 5
Complete the following sentence by using the lists of options. Upon analyzing the assessment findings, the nurse identifies that the client is at risk for _______ due to _______.
Correct Answer: A
Rationale: The correct answer is A: concurrent medication use. This choice is correct because it aligns with the concept of assessing the potential risk factors for a client based on their current situation. Identifying concurrent medication use as a risk factor is crucial as it can lead to adverse drug interactions, side effects, or decreased effectiveness of treatments. The other choices, such as recent illness or activity level, may also be important factors in assessing a client's health status, but they do not directly relate to the potential risks associated with medication use in the same way as choice A. In this scenario, focusing on concurrent medication use as a risk factor is the most appropriate and critical consideration for the nurse in determining the client's overall health risks.