ATI RN
ATI Pharmacology Proctored Exam 2019 Questions
Question 1 of 5
A client has a new prescription for Albuterol and Beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: When a client is prescribed an inhaled beta2-agonist (such as albuterol) and an inhaled glucocorticoid (such as beclomethasone) for asthma control, the beta2-agonist should be administered first. Administering the beta2-agonist before the glucocorticoid helps promote bronchodilation and enhances the absorption of the glucocorticoid, maximizing its effectiveness in the lungs.
Question 2 of 5
In reviewing a client's health record, which condition would be a contraindication for using Propranolol to treat hypertension?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Asthma. Propranolol is a non-selective beta-blocker that can lead to bronchoconstriction, making it unsuitable for patients with asthma. When considering pharmacological treatment for hypertension, it is crucial to assess for contraindications to ensure patient safety and effectiveness of the therapy. Option B) Glaucoma is not a contraindication for using Propranolol in hypertension treatment. In fact, Propranolol can be beneficial for patients with glaucoma as it reduces intraocular pressure. Option C) Hypertension is the condition being treated, so it is not a contraindication for using Propranolol. In fact, Propranolol is commonly used to manage hypertension. Option D) Tachycardia is not a contraindication for using Propranolol in hypertension treatment. Propranolol's mechanism of action includes reducing heart rate and myocardial contractility, making it effective in managing tachycardia. Educationally, this question highlights the importance of considering individual patient characteristics and comorbidities when selecting pharmacological treatments. It emphasizes the need for healthcare providers to have a thorough understanding of drug actions, contraindications, and potential adverse effects to make informed decisions in clinical practice.
Question 3 of 5
A healthcare professional is caring for an older adult client who has a new prescription for Digoxin and takes multiple other medications. Which of the following medications, when used concurrently with Digoxin, places the client at risk for Digoxin toxicity?
Correct Answer: B
Rationale: Verapamil, a calcium-channel blocker, can increase digoxin levels, leading to Digoxin toxicity. When these medications are used together, the client is at an increased risk. The healthcare professional should consider adjusting the digoxin dosage and closely monitor the client's digoxin levels to prevent toxicity.
Question 4 of 5
A client prescribed Isosorbide Mononitrate for chronic stable Angina develops reflex tachycardia. Which of the following medications should the nurse expect to administer?
Correct Answer: D
Rationale: Metoprolol, a beta-adrenergic blocker, is commonly used to treat hypertension and stable angina pectoris. It is often prescribed to decrease heart rate in clients who develop tachycardia, such as in the case of reflex tachycardia induced by Isosorbide Mononitrate, making it the appropriate choice in this scenario.
Question 5 of 5
A client is prescribed Propranolol for dysrhythmia. Which action should the nurse plan to take?
Correct Answer: C
Rationale: The correct action the nurse should plan to take when administering Propranolol to a client with dysrhythmia is to assist the client when transitioning to a sitting or standing position. Propranolol can cause orthostatic hypotension, leading to dizziness during position changes, so it is essential to help the client move slowly to prevent falls or injuries.