ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 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 2 of 5
Which of the following interventions should the nurse include in the plan of care for a client who has hypertension and is to start taking metoprolol?
Correct Answer: B
Rationale: The correct answer is B: Determine apical pulse prior to administering. Metoprolol is a beta-blocker that can cause bradycardia as a side effect. By assessing the client's apical pulse before administering the medication, the nurse can monitor for any signs of bradycardia and adjust the dosage if necessary. Weighing the client weekly (choice
A) is not directly related to metoprolol administration. Administering the medication before breakfast (choice
C) may be a general recommendation for some medications but is not specific to metoprolol. Monitoring for jaundice (choice
D) is not a common side effect of metoprolol.
Question 3 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 4 of 5
For which of the following adverse effects should the nurse monitor a client who is prescribed metoclopramide following bowel surgery?
Correct Answer: B
Rationale: The correct answer is B: Sedation. Metoclopramide is a medication that can cause sedation as a side effect. Following bowel surgery, sedation can affect the client's ability to recover and participate in post-operative activities. Muscle weakness (
A), tinnitus (
C), and peripheral edema (
D) are not commonly associated with metoclopramide use. Monitoring for sedation is crucial to ensure the client's safety and well-being postoperatively.
Question 5 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.