ATI RN
ATI RN Pharmacology Online Practice 2023 B Questions
Question 1 of 5
A client is prescribed enalapril (Vasotec) for hypertension. Which side effect should the nurse teach the client to report?
Correct Answer: A
Rationale: Enalapril, an ACE inhibitor, causes dry cough via bradykinin buildup, a common effect needing reporting to consider switching (e.g., to an ARB). Fatigue , headache , and nausea are less specific or urgent. Cough aligns with enalapril's pharmacology, critical in hypertension where adherence hinges on tolerability, making A the key side effect to report.
Question 2 of 5
The patient receives antibiotics for a serious infection. The patient asks the nurse, 'Why don't you just give me more of that drug to cure this infection faster?' What is the best response by the nurse?
Correct Answer: D
Rationale: Antibiotics have a maximum dose beyond which efficacy plateaus-more risks toxicity (e.g., ototoxicity), not faster cure, a pharmacodynamic limit. Checking with the doctor delays a clear answer. Interactions aren't the sole issue-toxicity is. Time-based increase lacks basis. Maximum dose explains efficacy ceiling, educating safely.
Question 3 of 5
Ace Inhibitors o昀ç€en end in?
Correct Answer: C
Rationale: Ace Inhibitors generally end in the suffix "-pril". This class of medications works by inhibiting the angiotensin-converting enzyme (ACE), leading to relaxation of blood vessels and decreased blood pressure. Common examples of ACE inhibitors include enalapril, lisinopril, and captopril.
Question 4 of 5
The female client has a fungal infection and will receive nystatin (Mycostatin). What assessment data is critical for the nurse to review prior to administering this medication?
Correct Answer: C
Rationale: Nystatin is an antifungal medication used to treat fungal infections, such as candidiasis. Before administration, assessing whether the client could be pregnant is critical because nystatin's safety in pregnancy is not fully established (Category C), meaning potential risks to the fetus cannot be ruled out without further evaluation. This makes pregnancy status a key safety consideration to prevent harm to an unborn child, outweighing other factors in urgency. The type of diet or amount of fat might influence general health or drug absorption minimally but isn't directly critical to nystatin's administration. Height and weight could affect dosing in some medications, but nystatin's dosing is typically standard and not weight-based for most fungal infections. Thus, confirming pregnancy status ensures the drug's safety profile aligns with the client's condition, making choice C the most critical assessment data to review prior to administration.
Question 5 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.