ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following statements should the nurse include in the teaching about the new medication? Select the 2 statements the nurse should include in the teaching.
Correct Answer: B, D
Rationale: The nurse should include statements B and D in the teaching about the new medication. Statement B is important as it informs the patient about a potential side effect (constipation) of the medication, empowering them to monitor for and manage this issue. Statement D is crucial as certain medications can increase sensitivity to sunlight, leading to adverse effects. This instruction helps prevent potential harm. Statements A, C, E, F, and G are incorrect. Statement A is false because taking medication with dairy products can interfere with absorption. Statement C, E, F, and G are not relevant to the medication's specific instructions or potential side effects.
Question 2 of 5
Which of the following actions should the nurse take when observing infiltration of fluid into the tissue surrounding an IV insertion site?
Correct Answer: C
Rationale: The correct answer is C: Elevate the extremity. Elevating the extremity helps reduce swelling and minimize tissue damage caused by the infiltration of fluid. By elevating the extremity, gravity helps to prevent further spread of the infiltrated fluid into the surrounding tissue. This action promotes better circulation and aids in the reabsorption of the fluid back into the vascular system. Flushing the IV catheter (choice
A) may exacerbate the infiltration, applying pressure to the IV site (choice
B) can cause tissue damage, and slowing the infusion rate (choice
D) may not address the immediate issue of fluid infiltration.
Question 3 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 4 of 5
How many mg should the nurse administer per dose to a child weighing 44 lbs if the prescribed dose is 15 mg/kg every 12 hours?
Correct Answer: C
Rationale:
To calculate the correct dose for a child weighing 44 lbs, first convert lbs to kg (44 lbs ÷ 2.2 = 20 kg).
Then, multiply the weight in kg by the prescribed dose in mg/kg (20 kg * 15 mg/kg = 300 mg).
Therefore, the correct answer is C (300 mg).
Choice A is too low, choices B, D, and E are too high.
Question 5 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.