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 about medication reconciliation?
Correct Answer: C
Rationale:
Rationale: Option C is correct because a transition in care, such as admission or discharge, necessitates medication reconciliation to ensure patient safety. This process involves comparing the medications a patient is currently taking with newly prescribed medications. Option A is incorrect as medication reconciliation is a collaborative effort involving healthcare providers, not just the client's provider. Option B is incorrect because medication reconciliation should encompass all medications the client is taking, not just those ordered at discharge. Option D is incorrect as medication reconciliation should include details like dosages and frequencies, not just names.
Question 2 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 3 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.
Question 4 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 5 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.