ATI RN
ATI PN Pharmacology Proctored Exam 2023 Quizlet Questions
Question 1 of 5
A nurse is caring for a client with a history of overdosage of aspirin. The nurse suspects which of the following can be an early sign of aspirin toxicity?
Correct Answer: D
Rationale: Tinnitus, or ringing in the ears, can be an early sign of aspirin toxicity. Aspirin poisoning can lead to salicylate toxicity, which can manifest with various symptoms including tinnitus, along with hyperventilation, nausea, vomiting, and metabolic acidosis. Monitoring for tinnitus is crucial as an early indicator of potential aspirin overdose in clients. Unsteady gait, drowsiness, and confusion are also symptoms of aspirin toxicity but typically develop after tinnitus in the progression of toxicity.
Question 2 of 5
What medication is a contraindication to Nitroglycerin
Correct Answer: D
Rationale: Erectile dysfunction drugs, such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil), are contraindicated with nitroglycerin. Both nitroglycerin and erectile dysfunction drugs can cause a sudden decrease in blood pressure when taken together, leading to a serious drop in blood pressure. This could result in dizziness, lightheadedness, fainting, and even potentially life-threatening complications like a heart attack or stroke.
Therefore, it is crucial to avoid the combination of nitroglycerin with erectile dysfunction medications to prevent these adverse effects.
Question 3 of 5
Which statement is accurate regarding medications that end up being secreted in bile?
Correct Answer: B
Rationale: Biliary secretion (e.g., rifampin) leads to fecal excretion for some drugs, while others recycle enterohepatically, prolonging action. Not all are fecal-bound-recirculation varies. Gallbladder stores bile, not metabolizes. Many drugs use bile, not rare. Recirculation reflects pharmacokinetics, affecting duration.
Question 4 of 5
A patient with coronary artery disease asks the nurse about the good cholesterol laboratory values. The nurse knows that good cholesterol refers to which lipids?
Correct Answer: D
Rationale: HDLs are commonly referred to as the "good cholesterol" because they help remove excess cholesterol from the bloodstream and transport it to the liver for excretion. High levels of HDL cholesterol are associated with a reduced risk of cardiovascular disease, including coronary artery disease. Monitoring HDL levels is important in assessing cardiovascular health. Triglycerides, LDLs, and VLDLs do not qualify as "good cholesterol" and are actually associated with an increased risk of cardiovascular disease when elevated.
Question 5 of 5
Which of the following is NOT a side effect of Alprazolam?
Correct Answer: C
Rationale: Insomnia is not a common side effect of Alprazolam. Alprazolam is a benzodiazepine medication commonly used to treat anxiety and panic disorders. Common side effects of Alprazolam include dizziness, drowsiness, and lethargy. However, it is not typically associated with causing insomnia as a side effect. If a person experiences unusual symptoms while taking Alprazolam, they should consult their healthcare provider for guidance.