ATI RN
ATI Nurs 180 Pharmacology Quiz Questions
Question 1 of 5
The nurse is caring for a client newly diagnosed with hypertension and requires medication therapy. Which of the following medications below is considered a first line treatment for hypertension?
Correct Answer: B
Rationale: The correct answer, B: lisinopril, is considered a first-line treatment for hypertension due to its effectiveness in reducing blood pressure and its well-established safety profile. Lisinopril is an ACE inhibitor, which helps relax blood vessels and lower blood pressure. This medication is widely recommended by guidelines for initial treatment of hypertension. Carvedilol (
A) is a beta-blocker, clonidine (
C) is a centrally acting alpha-agonist, and doxazosin (
D) is an alpha-blocker. These medications are not typically used as first-line treatments for hypertension and are often reserved for specific situations or as add-on therapy.
Question 2 of 5
A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?
Correct Answer: A
Rationale: The correct answer is A: Alcohol use disorder. Acetaminophen is metabolized in the liver, and chronic alcohol use can lead to liver damage. Combining acetaminophen with alcohol can increase the risk of liver toxicity and liver failure. Asthma (
B), diabetes (
C), and heart failure (
D) are not contraindications for acetaminophen. Asthma and diabetes do not directly interact with acetaminophen, and acetaminophen is considered safe for use in heart failure patients as it does not worsen the condition.
Question 3 of 5
A client newly prescribed niacin reports flushing after their first dose. Which medication would the nurse anticipate administering to manage this side effect?
Correct Answer: C
Rationale: The correct answer is C: NSAIDs. NSAIDs, such as aspirin or ibuprofen, are commonly used to manage flushing caused by niacin by reducing prostaglandin synthesis. Beta blockers (
A) and calcium channel blockers (
B) are not effective for flushing related to niacin. Fibric acid derivatives (
D) are used to treat dyslipidemia, not flushing.
Question 4 of 5
The nurse is caring for a client with a history of hypertension who has experienced uncontrollable non-productive cough related to an ACE inhibitor. Which alternative medication would the nurse anticipate administering?
Correct Answer: A
Rationale: The correct answer is A: losartan (Cozaar). Losartan is an angiotensin II receptor blocker (AR
B) that is often used as an alternative to ACE inhibitors in patients who develop a cough. ARBs work by blocking the action of angiotensin II, which helps to relax blood vessels and lower blood pressure without causing the side effect of cough. Hydralazine (
B) is a direct vasodilator and can be used in hypertension, but it does not address the cough side effect. Furosemide (
C) is a loop diuretic used for fluid retention, not hypertension. Metoprolol (
D) is a beta-blocker used for hypertension but does not address the cough issue.
Question 5 of 5
A nurse is providing teaching to a client who is taking raloxifene (Evista) to prevent postmenopausal osteoporosis. Which of the following options DOES NOT indicate an adverse effect of this medication?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Raloxifene is not known to cause jaundice as an adverse effect. Redness, swelling, and tenderness in the lower leg could indicate deep vein thrombosis, a potential serious adverse effect of raloxifene. Jaundice is not typically associated with raloxifene use and is more commonly linked to liver-related issues or certain medications.
Therefore, if a client experiences jaundice while taking raloxifene, it is important to investigate other potential causes and consider discontinuing the medication.