ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism in a client taking haloperidol?
Correct Answer: B
Rationale: The correct answer is B: Shuffling gait. Pseudoparkinsonism is a side effect of antipsychotic medications like haloperidol, characterized by symptoms resembling Parkinson's disease. A shuffling gait, where the client takes small steps with feet barely leaving the floor, is a classic manifestation. Serpentine limb movement (
A) is not typically associated with pseudoparkinsonism. Nonreactive pupils (
C) can be a sign of anticholinergic toxicity, not pseudoparkinsonism. Smacking lips (
D) is more indicative of tardive dyskinesia, another side effect of antipsychotics.
Question 2 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 commonly prescribed to treat nausea and vomiting. A decrease in nausea indicates the medication's effectiveness in managing this specific symptom.
Choices A, C, and D are incorrect because ondansetron does not directly target pain, coughing, or diarrhea. It is important for the nurse to focus on the primary purpose of the medication and assess the related symptoms to determine its effectiveness.
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: Respiratory depression is a potential side effect of opioids.
Tolerance to this effect develops with prolonged opioid use, reducing the risk over time. This information is crucial for nurses managing cancer pain with opioids to ensure patient safety.
Incorrect
Choices:
A: IM administration is not necessarily recommended if PO opioids are ineffective as this can lead to delayed pain relief and potential complications.
C: Meperidine is not the opioid of choice for treating chronic pain due to its toxic metabolite accumulation and increased risk of side effects.
D: Withholding PRN pain medication for clients on scheduled opioids can result in inadequate pain control and compromised quality of life.
Question 4 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-based contraceptives, leading to decreased efficacy and potential contraceptive failure. This interaction can result in unintended pregnancies.
Choices A, B, and D do not have significant interactions with carbamazepine.
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. It can damage the hair cells in the inner ear, affecting hearing. Rifampin (
A), Ciprofloxacin (
B), and Penicillin G (
C) are not associated with ototoxicity. Gentamicin should be used cautiously to prevent hearing loss.