ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 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 2 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 3 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 4 of 5
Which of the following findings should the nurse report to the provider as an adverse effect of gentamicin?
Correct Answer: B
Rationale: The correct answer is B: Tinnitus. Gentamicin is known to cause ototoxicity, which can manifest as tinnitus (ringing in the ears). This adverse effect should be reported to the provider promptly to prevent further damage. Constipation (
A), hypoglycemia (
C), and joint pain (
D) are not typically associated with gentamicin use. Reporting tinnitus is crucial to prevent permanent hearing loss.
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.