ATI RN
Test Bank For Pharmacology Questions
Question 1 of 5
A patient is taking infliximab and asks the nurse what side effects/adverse reactions to expect from this drug. The nurse lists which side effects? (Select all that apply.)
Correct Answer: D
Rationale: Infliximab is a biologic medication used to treat autoimmune conditions like rheumatoid arthritis and Crohn's disease. Common side effects include fatigue and headache, which are generally mild but can affect the patient's quality of life. Chest pain is a less common but serious side effect that may indicate cardiovascular complications or infusion reactions. Nausea is not typically associated with infliximab. Nurses should educate patients about these potential side effects and advise them to report any severe or persistent symptoms, such as chest pain, immediately.
Question 2 of 5
A nurse is about to administer Propanolol to a patient. The nurse takes the patient's apical pulse and documents it as 58 bmp. How should the nurse continue?
Correct Answer: D
Rationale: The nurse should withhold administration of the medication and notify the physician. The apical pulse of 58 bpm is below the normal range (60-100 bpm for adults), and propranolol is a beta-blocker that can further decrease the heart rate. Administering propranolol at this low heart rate may cause bradycardia (excessively slow heart rate) which can lead to serious complications. It is important to inform the physician of the low heart rate so that appropriate action or further assessment can be taken before administering the medication.
Question 3 of 5
Propranolol is classi昀椀ed as having which of the following pharmacological actions?
Correct Answer: A
Rationale: Propranolol belongs to the class of drugs known as beta blockers. Beta blockers work by blocking the effects of adrenaline on beta receptors in the body, resulting in decreased heart rate, blood pressure, and cardiac output. Propranolol is commonly used to treat conditions such as hypertension, angina, and certain cardiac arrhythmias. It is specifically a non-selective beta blocker, meaning it blocks both beta-1 and beta-2 receptors.
Question 4 of 5
When starting a patient on antidysrhythmic therapy, the nurse will remember that which problem is a potential adverse effect of any antidysrhythmic drug?
Correct Answer: D
Rationale: While it may seem counterintuitive that starting a patient on antidysrhythmic therapy could potentially cause dysrhythmias, it is important to remember that antidysrhythmic drugs can have proarrhythmic effects. Proarrhythmia refers to the development of new or more severe dysrhythmias as a result of the medication intended to treat dysrhythmias. This can occur due to various mechanisms, such as altering the electrical conduction system of the heart or disrupting the normal rhythm.
Therefore, dysrhythmias are a potential adverse effect that the nurse should monitor for when initiating antidysrhythmic therapy in a patient. It is crucial for the healthcare team to closely monitor the patient's cardiac rhythm and adjust the medication regimen as needed to minimize the risk of proarrhythmia.
Question 5 of 5
What is the therapeutic classification of Furosemide?
Correct Answer: B
Rationale: Furosemide belongs to the therapeutic class of diuretics. Diuretics are medications that promote diuresis, which is the increased production of urine. Furosemide specifically belongs to the loop diuretic class, working by inhibiting the reabsorption of sodium and chloride in the loop of Henle in the kidney, leading to increased excretion of water and electrolytes. This mechanism makes it a commonly used medication for conditions such as congestive heart failure, edema, and hypertension.