ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 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 2 of 5
Complete the following sentence by using the lists of options. Upon analyzing the assessment findings, the nurse identifies that the client is at risk for _______ due to _______.
Correct Answer: A
Rationale: The correct answer is A: concurrent medication use. This choice is correct because it aligns with the concept of assessing the potential risk factors for a client based on their current situation. Identifying concurrent medication use as a risk factor is crucial as it can lead to adverse drug interactions, side effects, or decreased effectiveness of treatments. The other choices, such as recent illness or activity level, may also be important factors in assessing a client's health status, but they do not directly relate to the potential risks associated with medication use in the same way as choice A. In this scenario, focusing on concurrent medication use as a risk factor is the most appropriate and critical consideration for the nurse in determining the client's overall health risks.
Question 3 of 5
A nurse is teaching a client about cyclobenzaprinWhich of the following client statements should indicate to the nurse that the teaching about cyclobenzaprine was effective?
Correct Answer: C
Rationale:
Correct Answer: C - "I will taper off the medication before discontinuing it."
Rationale: Tapering off cyclobenzaprine is important to prevent withdrawal symptoms due to its muscle relaxant properties. Abruptly stopping the medication can lead to rebound muscle spasms and other adverse effects.
Therefore, the client's statement of tapering off the medication before discontinuing it indicates understanding of the proper way to stop taking cyclobenzaprine.
Summary of other choices:
A: Increased saliva production is not a common side effect of cyclobenzaprine.
B: Continuing the medication until the rash disappears is not relevant to cyclobenzaprine use.
D: Reporting urinary incontinence is important but not specifically related to the teaching about cyclobenzaprine.
Question 4 of 5
Which of the following medications should the nurse plan to administer to a client who has heroin toxicity, is unresponsive, has pinpoint pupils, and a respiratory rate of 8/min?
Correct Answer: B
Rationale: The correct answer is B: Naloxone. Naloxone is an opioid antagonist that reverses the effects of opioid overdose, such as respiratory depression and pinpoint pupils. Administering Naloxone can quickly restore respiratory function and consciousness in a patient with heroin toxicity. Methadone (choice
A) is not appropriate for acute opioid toxicity. Diazepam (choice
C) is a benzodiazepine used for anxiety and seizures, not opioid toxicity. Bupropion (choice
D) is an antidepressant and not indicated for opioid toxicity.
Question 5 of 5
Which of the following over-the-counter medications should the nurse identify that the client should discontinue when starting lithium?
Correct Answer: B
Rationale: The correct answer is B: Ibuprofen. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAI
D) that can increase lithium levels, leading to toxicity. The inhibition of prostaglandin synthesis by NSAIDs reduces lithium clearance. As a result, concurrent use of lithium and ibuprofen should be avoided. Aspirin (choice
A) is not contraindicated with lithium. Famotidine (choice
C) and Bisacodyl (choice
D) do not interact significantly with lithium.