ATI PHARMACOLOGY PROCTORED 2023
EXAM 120 QUESTIONS AND CORRECT
ANSWERS AGRADE
An adult client has prescriptions for morphine sulfate 2.5 mg IV every 6 hours and
ketorolac (Toradol) 30 mg IV every 6 hours. Which action should the nurse implement?
A. Administer both medications according to the prescription.
B. Hold the ketorolac to prevent an antagonistic effect.
C. Hold the morphine to prevent an additive drug interaction.
D. Contact the healthcare provider to clarify the prescription. - ANSWER>> Administer
both medications according to the prescription.
Which relationship reflects the relationship of naloxone to morphine sulfate?
A. Aspirin to warfarin
B. Amoxicillin to infection
C. Enoxaparin to dalteparin
D. Protamine sulfate to heparin - ANSWER>> Protamine sulfate to heparin
6) The nurse is caring for a client hospitalized with a myocardial infarction. Which
analgesic is the medication of choice for this client?
A. Ketorolac
B. Meperidine
C. Flurazepam
D. Morphine sulfate - ANSWER>> Morphine sulfate
A health care provider prescribes morphine for a client being treated for myocardial
,infarction. Which physiological response will occur if the client experiences the intended
therapeutic effect of morphine?
A. Increased respiratory rate
B. Decreased workload of the heart
C. Dilation of coronary arteries
D. Diminished metabolites within the ischemic heart muscle - ANSWER>> Decreased
workload of the heart
Which client should the nurse identify as being at highest risk for complications
during the use of an opioid analgesic?
A. An older client with Type 2 diabetes mellitus.
B. A client with chronic rheumatoid arthritis.
C. A client with a open compound fracture.
D. A young adult with inflammatory bowel disease. - ANSWER>> A young adult with
inflammatory bowel disease.
The principal indication for opioid use is acute pain, and a client with inflammatory
bowel disease is at risk for toxic megacolon or paralytic ileus related to slowed
peristalsis, a side effect of morphine. Adverse effects of morphine do not pose as great
a
risk for clients with diabetes or a fracture as for the client with bowel disease.
Which medications should the nurse caution the client about taking while receiving
an opioid analgesic?
A. Antacids.
,B. Benzodiazepines.
C. Antihypertensives.
D. Oral antidiabetics. - ANSWER>> Benzodiazepines
The nurse is caring for an 81-year-old client with colorectal cancer. Previously, the
client's pain was managed with acetaminophen with codeine. However, the client is now
experiencing frequent, severe pain and intravenous morphine has been prescribed.
What should the nurse recognize about this order?
A. Inappropriate due to the potential of respiratory depression
B. Inappropriate and demonstrates lack of knowledge related to pain control
C. Appropriate despite the risk of diarrhea and abdominal upset
D. Appropriate pain management and should be available around the clock -
ANSWER>> A. Inappropriate due to the potential of respiratory depression
morphine prescribed parenterally (SQ/IM/IV), the
recommended pediatric dose is - ANSWER>> 0.1 to 0.2 mg/kg
A client with a known history of opioid addiction has a surgical repair of multiple
stab wounds to the abdomen. After surgery, the client's pain is not relieved by the
prescribed morphine injections. Which phenomenon is the client experiencing when
they fail to achieve pain relief?
A. Tolerance
B. Habituation
C. Physical addiction
D. Psychological dependence - ANSWER>> Tolerance
At which time would the nurse plan to administer morphine 2 mg by mouth every 2
, hours as needed to a client who has burns on 55% of the body surface and requires
dressing changes?
A. 15 minutes before the dressing change
B. 60 minutes before the dressing change
C. Along with a stool softener each time it is administered
D. Only if the client rates pain between 8 and 10 on the pain scale - ANSWER>> 60
minutes before the dressing change
A client has increased intracranial pressure and is unconscious with a heart rate of
60 beats/min, respirations 16 breaths/min, and blood pressure 142/64 mm Hg. The
nurse reviews the treatment plan and questions which prescription?
A. Mannitol
B. Dexamethasone
C. Chlorpromazine
D. Morphine - ANSWER>> Morphine
A. "This combination medication will better help to manage your pain."
B. "The combination medication will reduce the chance of addiction."
C. "This medication will minimize any side effects from the codeine."
D. "This medication combination will allow healing to occur faster."
Rationale: - ANSWER>> A.
The use of
acetaminophen with codeine potentiates the effect of the codeine, thus providing
greater/better pain relief
Which mechanism of action explains why naloxone is administered for a heroin
EXAM 120 QUESTIONS AND CORRECT
ANSWERS AGRADE
An adult client has prescriptions for morphine sulfate 2.5 mg IV every 6 hours and
ketorolac (Toradol) 30 mg IV every 6 hours. Which action should the nurse implement?
A. Administer both medications according to the prescription.
B. Hold the ketorolac to prevent an antagonistic effect.
C. Hold the morphine to prevent an additive drug interaction.
D. Contact the healthcare provider to clarify the prescription. - ANSWER>> Administer
both medications according to the prescription.
Which relationship reflects the relationship of naloxone to morphine sulfate?
A. Aspirin to warfarin
B. Amoxicillin to infection
C. Enoxaparin to dalteparin
D. Protamine sulfate to heparin - ANSWER>> Protamine sulfate to heparin
6) The nurse is caring for a client hospitalized with a myocardial infarction. Which
analgesic is the medication of choice for this client?
A. Ketorolac
B. Meperidine
C. Flurazepam
D. Morphine sulfate - ANSWER>> Morphine sulfate
A health care provider prescribes morphine for a client being treated for myocardial
,infarction. Which physiological response will occur if the client experiences the intended
therapeutic effect of morphine?
A. Increased respiratory rate
B. Decreased workload of the heart
C. Dilation of coronary arteries
D. Diminished metabolites within the ischemic heart muscle - ANSWER>> Decreased
workload of the heart
Which client should the nurse identify as being at highest risk for complications
during the use of an opioid analgesic?
A. An older client with Type 2 diabetes mellitus.
B. A client with chronic rheumatoid arthritis.
C. A client with a open compound fracture.
D. A young adult with inflammatory bowel disease. - ANSWER>> A young adult with
inflammatory bowel disease.
The principal indication for opioid use is acute pain, and a client with inflammatory
bowel disease is at risk for toxic megacolon or paralytic ileus related to slowed
peristalsis, a side effect of morphine. Adverse effects of morphine do not pose as great
a
risk for clients with diabetes or a fracture as for the client with bowel disease.
Which medications should the nurse caution the client about taking while receiving
an opioid analgesic?
A. Antacids.
,B. Benzodiazepines.
C. Antihypertensives.
D. Oral antidiabetics. - ANSWER>> Benzodiazepines
The nurse is caring for an 81-year-old client with colorectal cancer. Previously, the
client's pain was managed with acetaminophen with codeine. However, the client is now
experiencing frequent, severe pain and intravenous morphine has been prescribed.
What should the nurse recognize about this order?
A. Inappropriate due to the potential of respiratory depression
B. Inappropriate and demonstrates lack of knowledge related to pain control
C. Appropriate despite the risk of diarrhea and abdominal upset
D. Appropriate pain management and should be available around the clock -
ANSWER>> A. Inappropriate due to the potential of respiratory depression
morphine prescribed parenterally (SQ/IM/IV), the
recommended pediatric dose is - ANSWER>> 0.1 to 0.2 mg/kg
A client with a known history of opioid addiction has a surgical repair of multiple
stab wounds to the abdomen. After surgery, the client's pain is not relieved by the
prescribed morphine injections. Which phenomenon is the client experiencing when
they fail to achieve pain relief?
A. Tolerance
B. Habituation
C. Physical addiction
D. Psychological dependence - ANSWER>> Tolerance
At which time would the nurse plan to administer morphine 2 mg by mouth every 2
, hours as needed to a client who has burns on 55% of the body surface and requires
dressing changes?
A. 15 minutes before the dressing change
B. 60 minutes before the dressing change
C. Along with a stool softener each time it is administered
D. Only if the client rates pain between 8 and 10 on the pain scale - ANSWER>> 60
minutes before the dressing change
A client has increased intracranial pressure and is unconscious with a heart rate of
60 beats/min, respirations 16 breaths/min, and blood pressure 142/64 mm Hg. The
nurse reviews the treatment plan and questions which prescription?
A. Mannitol
B. Dexamethasone
C. Chlorpromazine
D. Morphine - ANSWER>> Morphine
A. "This combination medication will better help to manage your pain."
B. "The combination medication will reduce the chance of addiction."
C. "This medication will minimize any side effects from the codeine."
D. "This medication combination will allow healing to occur faster."
Rationale: - ANSWER>> A.
The use of
acetaminophen with codeine potentiates the effect of the codeine, thus providing
greater/better pain relief
Which mechanism of action explains why naloxone is administered for a heroin
