ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following information should the nurse include in the teaching for a school-age child with a new prescription for a fluticasone metered-dose inhaler? (Select all that apply)
Correct Answer: E
Rationale: The correct answer is E: Rinse your child's mouth following administration. Fluticasone, a corticosteroid inhaler, can cause oral thrush as a side effect. Rinsing the mouth after inhaler use helps reduce the risk of developing thrush. This is important to include in teaching to ensure the child's safety and adherence to proper medication administration.
Choice A is incorrect because soaking the inhaler in water can damage the device.
Choice B is incorrect as fluticasone should be taken regularly as prescribed, not just as needed for shortness of breath.
Choice C is incorrect as shaking the inhaler is not necessary for a metered-dose inhaler.
Choice D is incorrect because while a spacer can be beneficial for some inhalers, it is not specifically mentioned for fluticasone inhalers in this scenario.
Question 2 of 5
How many mL/h should the nurse set the IV infusion pump to deliver half the total volume of lactated Ringer's (4,080 mL) in the first 8 hours?
Correct Answer: D
Rationale:
To deliver half of 4,080 mL in 8 hours, first calculate the total volume per hour: 4,080 mL / 8 hours = 510 mL/h. Half of this is 255 mL/h, making choice D the correct answer.
Choices A, B, and C are too low, while choice E is too high, as they do not deliver the required volume in the specified time frame.
Question 3 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 4 of 5
A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication that the 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 the morphine has been effective because pain relief is the primary goal of administering morphine. A pain rating of 3 indicates a decrease in pain intensity, showing that the medication is working.
A: The client's vital signs being within normal limits does not directly indicate the effectiveness of pain management.
B: The client not requesting additional medication could be due to various reasons other than effective pain relief.
C: The client resting comfortably with eyes closed may suggest relaxation but does not necessarily reflect pain relief.
In summary, the other choices do not directly measure pain relief, unlike the client's self-reported pain rating.
Question 5 of 5
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribeWhich of the following information should the nurse enter as a complete documentation of the incident?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Option B provides a complete documentation of the incident by stating the specific IV fluid, volume, rate, and duration of infusion, along with the client's vital signs and the action taken (provider notified). This information is crucial for accurately documenting the deviation from the prescribed infusion rate and the client's response.
Summary of Other
Choices:
A: Does not mention vital signs or completion of the infusion. Lacks specificity.
C: Does not address the deviation in the infusion rate or vital signs. Irrelevant information.
D: Mentions the initiation time and lung sounds, but does not address the deviation in infusion rate or client response.
E: Similar to option B but lacks specificity regarding the duration of the infusion.