ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following findings should indicate to the nurse that the ondansetron has been effective?
Correct Answer: B
Rationale: The correct answer is B: Client reports a decrease in nausea. Ondansetron is an antiemetic medication commonly used to treat nausea and vomiting.
Therefore, a decrease in nausea is the expected outcome.
Choices A, C, and D are incorrect because ondansetron specifically targets nausea and vomiting, not pain, coughing, or diarrhea. It is important for the nurse to monitor the client's response to the medication to ensure its effectiveness in managing the intended symptoms.
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
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.
Question 4 of 5
Which of the following medications for pain relief can be taken concurrently with enoxaparin?
Correct Answer: C
Rationale: The correct answer is C: Acetaminophen. Acetaminophen is a safe choice to take concurrently with enoxaparin because it does not have significant antiplatelet effects that could increase the risk of bleeding when used with enoxaparin. Ibuprofen, naproxen sodium, and aspirin are nonsteroidal anti-inflammatory drugs (NSAIDs) that can increase the risk of bleeding when used with enoxaparin due to their antiplatelet effects. It is important to avoid NSAIDs when taking enoxaparin. Acetaminophen, on the other hand, is not an NSAID and does not have the same antiplatelet effects, making it a safer option for pain relief in patients taking enoxaparin.
Question 5 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.