Pharmacology ATI Exam 1 Questions & Answers |
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Exam 1 (Pharmacology ATI)
A nurse is planning care for a client who is postoperative and scheduled
to ambulate. At which of the following times should the nurse plan to
administer PO morphine to the client for peak analgesic effect during
the ambulation?
A. 3 to 4 hr before ambulation
B. 10 to 15 min prior to ambulation
C. 60 to 90 min prior to ambulation
D. Immediately before ambulation - ANSWER -C. 60 to 90 min prior to
ambulation
A nurse manager is instructing a newly licensed nurse about routes of
medication administration. Which of the following routes involves
medication absorption through the mucous membranes under the
tongue?
A. Oral
B. Topical
C. Parenteral
D. Sublingual - ANSWER -D. Sublingual
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A nurse is providing teaching about benzodiazepines to a client who is
discontinuing long-term alprazolam use. Which of the following pieces
of information should the nurse include in the teaching?
A. You might experience somnolence.
B. Plan to taper the dose slowly over several months.
C. Call the provider if you have muscle weakness.
D. Confusion is common during the process. - ANSWER -B. Plan to taper
the dose slowly over several months.
A nurse is teaching a client who has persistent cancer pain about the
adverse effects of opioids. Which of the following statements should
the nurse include in the teaching?
A. Opioids do not relieve pain without causing severe adverse effects.
B. Physical dependence is not the same as addiction.
C. Tolerance typically means that the medication will no longer be
effective.
D. The most common adverse effect is respiratory depression with
prolonged use. - ANSWER -B. Physical dependence is not the same as
addiction.
A nurse is reviewing the medical record of a client who has been taking
a vitamin D supplement. Which of the following findings from the
client's record should the nurse identify as a risk factor for developing
vitamin D deficiency?
A. Middle-age
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B. Obesity
C. Dark-colored eyes
D. Light- pigmented skin - ANSWER -B. Obesity
A nurse is providing discharge teaching to a client who is postoperative
and has a new prescription for an oral opioid analgesic. Which of the
following pieces of information should the nurse include as a rationale
for increasing the client's daily intake of fiber?
A. Fiber binds with the medication to relieve pain.
B. Dietary fiber prevents nausea caused by opioids.
C. Fiber promotes the absorption of opioids.
D. Dietary fiber helps prevent constipation. - ANSWER -D. Dietary fiber
helps prevent constipation.
A nurse is providing teaching to a group of new parents about
medications. The nurse should include that aspirin is contraindicated for
children who have a viral infection due to the risk of developing which
of the following adverse effects?
A. Reye's syndrome
B. Visual disturbances
C. Diabetes mellitus
D. Wilms' tumor - ANSWER -A. Reye's syndrome
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A nurse is caring for a client who has a vitamin K deficiency. Which of
the following manifestations should the nurse expect?
A. Irregular bone formation
B. Abnormal movements
C. Blurred vision
D. Excessive bruising - ANSWER -D. Excessive bruising
A nurse is assessing a client who is receiving a continuous morphine IV
infusion and finds the client's respiratory rate has decreased from
20/min to 12/min. Which of the following actions should the nurse
take?
A. Flush the IV line with saline
B. Administer flumazenil
C. Lower the head of the bed
D. Slow the rate of the infusion - ANSWER -D. Slow the rate of the
infusion
A nurse is preparing to administer medication to a client. The nurse
should understand that which of the following abbreviations indicates
the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h - ANSWER -C. QID