ATI NCLEX Pharmacology Assessment 1 Exam With Complete Solutions 2024 Pass Guide

ATI NCLEX Pharmacology Assessment 1 Exam With Complete Solutions 2024 Pass Guide A nurse is preparing to administer enteric coated aspirin to a client who has had a myocardial infarction. The client states, I "won't have another heart attack, so I don't want the medication." Which of the following actions should the nurse take A. Document the client's decisions in the medical record B. Discuss alternate medications with the client C. Tell the client they must take the medication D. Inform the client that they will be required to sign a medication refusal form {Ans: - A The pt has the right to refuse treatments or medications at any time -- B, it is the providers responsibility to discuss alternative medications with the pt A nurse is reviewing a prescription for a client who has hypertension. The prescription reads atenolol 250 mg PO once daily. Which of the following parts of the prescription should the nurse clarify with the provider A. Dose B. Route C. Medication D. Frequency {Ans: - A Atenolol is a beta blocker used to treat hypertension and angina. The dosage can range from 50-100mg and should not exceed 100 mg in 24 hr for the treatment of hypertension A nurse is assessing a client who is receiving morphine via a patient controlled analgesia (PCA) pump and finds the client sedated and difficult to arouse. Which of the following actions should the nurse take A. raise the head of the bed B. Prepare to administer diphenhydramine C. Decrease the demand dosage D. Prepare to administer fulmazenil {Ans: - A Raise the head of the bed for a client who is difficult to arouse following opioid administration to help improve ventilation -- B, diphenhydramine is used to treat adverse effects, such as itching, and administer epinephrine for anaphylaxis C, the nurse should stop the PCA so that the client receives no further morphine and notify the provider so adjustments can be made to the prescription D, Flumazenil treats benzodiazepine toxicity. The nurse should prepare to administer naloxone, an opiate antagonist, to a client who has opioid toxicity A nurse manager is supervising a staff nurse caring for a postoperative client who is receiving morphine via a patient controlled analgesia (PCA) pump. Which of the following statements should the nurse manager identify as an indication that the nurse understands how to use this pain management method A. "I discarded the remaining 2 mg of morphine from the PCA pump. Please document that you witnessed it" B. "The client pushed the PCA button eight times in the last hour and it will override the 10 minute lockout" C. "I gave the client a bolus dose of morphine when I initiated the PCA pump" D. "I told the client's partner to push the button for him when he is asleep" {Ans: - C It is common practice for PCA prescriptions to begin with a bolus dose to establish a therapeutic blood level of the opioid. Following the bolus dose, the pump can deliver a demand dose and then have a delay or lockout of several minutes, during which time the client will not receive a dose even if the PCA pump is pushed to trigger a demand dose. This helps prevent overdosing A nurse is teaching a client who has COPD about the benefits of using a spacer with a metered dose inhaler (MDI). Which of the following statements should the nurse include in the teaching A. "A spacer will help you receive more of the medicine" B. "A spacer increases the dispersion rate of the medication" C. "A spacer reduces the amount of medication you need" D. "A spacer provides humidity to reduce dryness" {Ans: - A Spacers prevent depositing medication into the client's mouth. Reducing the deposit of medicine in the mouth increases the amount of medication in the lungs. Spacers also prevent sudden inhalation of a medication, which can lead to bronchospasm