ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 Questions
Extract:
Nurses Notes
Hospital Day 1
1700:
Client admitted to the medical surgical unit for reports of right leg swelling and pain. Area of redness and swelling noted to right thigh with small white pustule in center. Area is warm and tender to touch. Area marked with an indelible marker. Morphine and first dose of cefuroxime administered in the emergency department. Client resting comfortably.
0800:
Client alert and oriented to person, place, and time. Reports right leg pain interrupted sleeping: rates pain as 8on 0 to 10 scale. Lungs clear bilaterally, respirations unlabored. Heart rhythm regular. Abdomen soft and non-distended, bowel sounds present all 4 quadrants.
Vital Signs
0800:
Temperature 37.1 °C (98.8 °F)
Heart rate 48/min
Respiratory rate 14/min
Blood pressure 122/84 mm Hg
0815:
Heart rate 42/min
Respiratory rate 10/min
Blood pressure 108/62 mm Hg
Medication Administration Record
Provider Prescriptions
Admission: Cefuroxime 250 mg po q12h (0800, 1600)
Lovastatin 20 mg po qd with dinner (1800)
Pantoprazole 40 mg po qd (0800)
Morphine 30 mg po q4h prn for pain
Propranolol 40 mg po bid, hold for apical pulse < 50/min (0800, 1600)
Question 1 of 5
The nurse reviews the medication administration record following the 0815 assessment findings. Which of the following administered medications would require an incident report?
Correct Answer: A
Rationale: Propranolol is a beta-blocker used to control blood pressure and heart rate. However, the nurse has a hold order for propranolol if the apical pulse (heart rate) is less than 50 beats per minute. The nurse documented a heart rate of 42 bpm at 0815, which falls below the hold parameter for propranolol. Administering propranolol in this case could worsen the client's bradycardia (slow heart rate) and therefore requires an incident report.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: