ATI RN
ATI RN Pharmacology Proctored Exam Questions
Extract:
Nurses' Notes
3 days ago: Client presents with reports of intermittent spotting between menstrual cycles. Pelvic examination and swabs for sexually medication.”
transmitted infections obtained by the provider.
Medications include a combined oral contraceptive.
Today:
Client returns to office to discuss results of laboratory testing.
Education provided on newly obtained prescriptions.
Question 1 of 5
Which of the following statements should the nurse include in the teaching about the new medication?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because this medication may cause photosensitivity, making the individual more prone to sunburn or skin damage. It is essential to avoid the sun to prevent adverse effects.
Choice A is incorrect because dairy products may interact with the medication.
Choice B is incorrect as constipation is not a common side effect of this medication.
Choice C is incorrect as headache and blurred vision are not common side effects.
Choice E is incorrect unless the medication affects hormonal contraception.
Extract:
Question 2 of 5
Which of the following statements should the nurse include when teaching the client about the prescribed medication?
Correct Answer: A
Rationale: The correct answer is A because it provides important information about managing potential side effects (nausea) by taking the medication with a meal. This helps to enhance medication adherence and reduce discomfort.
Choice B is incorrect as vivid nightmares are not a common side effect of the medication.
Choice C is incorrect as changes in urine color are not typically associated with this medication.
Choice D is incorrect as high protein meals do not usually impact the effectiveness of this medication.
Choice E is incorrect as an increase in involuntary movements is not a common side effect of this medication.
Question 3 of 5
A nurse manager is planning an in-service about pain management with opioids for clients who have cancer. Which of the following information should the nurse manager include?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Opioid tolerance develops with continued use, leading to a decrease in respiratory depression risk.
2. This knowledge is crucial for safe opioid administration in cancer patients.
3. Respiratory depression risk is a significant concern with opioid use.
4. Understanding the development of tolerance helps in monitoring and managing opioid side effects.
Summary:
A: IM administration is not necessarily recommended over PO opioids; routes should be individualized.
C: Meperidine is not the opioid of choice due to toxic metabolites and limited duration of action.
D: PRN medications should not be withheld; they are essential for effective pain management.
E, F, G: No information provided.
Question 4 of 5
A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA)
Correct Answer: C,D,E
Rationale:
Correct Answer: C, D, E
Rationale:
C: Shake the device prior to administration helps ensure proper mixing of the medication for effective delivery.
D: A spacer will make it easier to use the device by helping the child inhale the medication more effectively and reducing the risk of side effects.
E: Using a spacer also reduces the likelihood of oral thrush, a common side effect of inhaled corticosteroids.
Incorrect
Choices:
A: Soaking the inhaler in water after use is unnecessary and may damage the device.
B: Taking one inhalation as needed for shortness of breath is not an appropriate dosing instruction for a maintenance medication like fluticasone.
Question 5 of 5
A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone?
Correct Answer: D
Rationale: The correct answer is D: Increased respiratory rate. Naloxone is an opioid antagonist that reverses the effects of opioids like morphine by blocking their receptors. Morphine can cause respiratory depression, so naloxone's therapeutic effect is to increase the client's respiratory rate. This helps prevent respiratory failure.
A: Nausea is not a direct effect of naloxone administration.
B: Naloxone does not provide additional pain relief but rather reverses the pain relief effects of opioids.
C: Naloxone may cause an increase in blood pressure due to its stimulatory effects on the cardiovascular system.
D: Increased respiratory rate is the correct therapeutic effect of naloxone.
E, F, G:
Choices are not provided.