ATI PHARMACOLOGY 2016 A, 2016 B, 2019 A, 2019B Practice questions

ATI Pharmacology 2019 A 1) A nurse is preparing to administer medication to a pt who has gout. The nurse discovers that an error was made during the previous shift and the pt received atenolol instead of allopurinol. Which of the following actions should the nurse take first? -Obtain the client's blood pressure. = CORRECT ANSWER When using the nursing process, the first action the nurse should take to prevent injury to the client is to assess the client for adverse effects of atenolol, such as hypotension. -Contact the client's provider. The nurse should contact the provider, who can provide direction to the nurse to prevent injury to the client. However, there is another action the nurse should take first. -Inform the charge nurse. The nurse should alert the charge nurse about the medication error. However, there is another action the nurse should take first. -Complete an incident report. The nurse should complete an incident report, which is used as part of a facility's quality assurance program. However, there is another action the nurse should take first. 2) A nurse is teaching a pt about Cyclobenzaprine. Which of the following pt statements should indicate to the nurse that the teaching is effective? -"I will have increased saliva production." The client should use gum or sip on water to prevent dry mouth, which is an adverse effect of cyclobenzaprine. -"I will continue taking the medication until the rash disappears." The client should take cyclobenzaprine for treatment of muscle spasms. This medication does not affect skin rashes. -"I will taper off the medication before discontinuing it." = CORRECT ANSWER The client should taper off cyclobenzaprine before discontinuing it to prevent abstinence syndrome or rebound insomnia. -"I will report any urinary incontinence." The client should report any urinary retention because of the anticholinergic effects caused when taking cyclobenzaprine. 3) A nurse is assessing a pt 1 hour after administering Morphine for pain. The nurse should identify which of the following findings as the best indication that the Morphine has been effective? -The client's vital signs are within normal limits. Vital signs can be within normal limits for clients who have pain. -The client has not requested additional medication. Clients often do not request medicine even when they are experiencing pain. -The client is resting comfortably with eyes closed. The client might rest with their eyes closed as a method to try to manage pain. However, this does not indicate that the pain is controlled.