ATI RN
ATI RN Pharmacology Online Practice 2023 B Questions
Question 1 of 5
A 43-year-old woman with multiple sclerosis has not been treated with medication because of only having mild symptoms. Now, she has bilateral lower extremity weakness and urinary complaints. She has begun on mitoxantrone. Which of the following adverse effects must the treating physician be aware of?
Correct Answer: B
Rationale: Mitoxantrone for MS progression risks hepatitis . This chemotherapeutic damages liver cells, requiring monitoring. Anxiety , hypopyrexia , muscle strength , and leukocytosis (E) aren't primary. Hepatotoxicity, with cardiotoxicity, is a key concern in this worsening MS case.
Question 2 of 5
The nurse is assessing a client and notes that he is receiving finasteride (Proscar). The client denies having any history of a significant prostate disorder. What is the best assessment question for the nurse to ask at this time?
Correct Answer: A
Rationale: Finasteride, a 5-alpha reductase inhibitor, is used as Proscar for benign prostatic hyperplasia (BPH) and as Propecia for male pattern baldness, reducing dihydrotestosterone to promote hair growth. Without prostate issues, baldness is a likely reason for its use. Erectile dysfunction isn't treated by finasteride-it may cause it-making that irrelevant. Stomach ulcers and hypertension aren't linked to finasteride's androgen-targeted action. Asking about baldness probes a condition tied to its alternative use, clarifying the prescription's purpose and guiding the nurse's understanding of the client's therapy.
Question 3 of 5
A busy patient with many responsibilities is to have a medication ordered to treat her hypertension. To increase compliance with drug therapy, what drug would be a good choice for this patient?
Correct Answer: D
Rationale: Metoprolol would be the best choice because it has an extended-release form that only needs to be taken once a day, which should increase patient compliance. Acebutolol, atenolol, and bisoprolol do not come in extended-release forms. The nurse should consider the patient’s lifestyle and preferences when selecting antihypertensive medications to improve adherence.
Question 4 of 5
Which of the following is the priority nursing diagnosis for a client undergoing chemotherapy?
Correct Answer: A
Rationale: Altered nutrition is often the priority nursing diagnosis for clients undergoing chemotherapy because the treatment can cause side effects such as nausea, vomiting, anorexia, and mucositis, leading to malnutrition and weight loss. Proper nutrition is essential for maintaining strength, supporting the immune system, and promoting recovery. While fear, anxiety, and decreased cardiac output are valid concerns, addressing nutritional deficits is critical to the client's overall well-being and ability to tolerate treatment.
Question 5 of 5
The nurse is preparing for a community education program on hypertension. Which of these parameters determine the regulation of arterial blood pressure?
Correct Answer: A
Rationale: The regulation of arterial blood pressure is primarily determined by two main parameters: cardiac output and systemic vascular resistance.