ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
How many mg should the nurse administer per dose to a child weighing 44 lbs if the prescribed dose is 15 mg/kg every 12 hours?
Correct Answer: C
Rationale:
To calculate the correct dose for a child weighing 44 lbs, first convert lbs to kg (44 lbs ÷ 2.2 = 20 kg).
Then, multiply the weight in kg by the prescribed dose in mg/kg (20 kg * 15 mg/kg = 300 mg).
Therefore, the correct answer is C (300 mg).
Choice A is too low, choices B, D, and E are too high.
Question 2 of 5
Which of the following medications interacts with carbamazepine?
Correct Answer: C
Rationale: The correct answer is C: Estrogen-progestin combination (Non-hormonal forms of contraception). Carbamazepine induces the metabolism of estrogen and progestin, reducing their effectiveness and potentially leading to contraceptive failure. Nicotine (choice
A) does not interact with carbamazepine. Diphenhydramine (choice
B) is an antihistamine and does not have a significant interaction with carbamazepine. Beclomethasone (choice
D) is a corticosteroid inhaler and does not interact with carbamazepine.
Question 3 of 5
Which of the following findings is the best indication that morphine has been effective?
Correct Answer: D
Rationale: The correct answer is D: The client rates pain as 3 on a scale from 0 to 10. This is the best indication that morphine has been effective because pain relief is the primary goal of administering morphine. A pain rating of 3 indicates that the medication has successfully reduced the client's pain level. Vital signs being within normal limits (choice
A) may not necessarily indicate pain relief. The client not requesting additional medication (choice
B) could be due to other factors such as fear of side effects. The client sitting comfortably with eyes closed (choice
C) is subjective and may not always correlate with pain relief.
Therefore, choice D is the most objective and reliable indicator of morphine effectiveness.
Question 4 of 5
Which of the following statements should the nurse include in the teaching about the new medication? Select the 2 statements the nurse should include in the teaching.
Correct Answer: B, D
Rationale: The nurse should include statements B and D in the teaching about the new medication. Statement B is important as it informs the patient about a potential side effect (constipation) of the medication, empowering them to monitor for and manage this issue. Statement D is crucial as certain medications can increase sensitivity to sunlight, leading to adverse effects. This instruction helps prevent potential harm. Statements A, C, E, F, and G are incorrect. Statement A is false because taking medication with dairy products can interfere with absorption. Statement C, E, F, and G are not relevant to the medication's specific instructions or potential side effects.
Question 5 of 5
Which of the following medications puts the client at risk for developing hearing loss?
Correct Answer: D
Rationale: The correct answer is D: Gentamicin. Gentamicin is an aminoglycoside antibiotic known to cause ototoxicity, leading to hearing loss and balance issues. It damages the hair cells in the inner ear responsible for transmitting sound signals to the brain. Rifampin (
A), Ciprofloxacin (
B), and Penicillin G (
C) are not associated with ototoxicity. In summary, Gentamicin is the only medication listed that poses a risk of hearing loss due to its ototoxic effects on the inner ear.