ATI RN
ATI Pharmacology Proctored Exam 2019 Quizlet Questions
Question 1 of 5
What symptom would alert the nurse to hold Albuterol and notify a healthcare professional immediately?
Correct Answer: B
Rationale: Paradoxical bronchospasm is a rare but serious side effect of Albuterol inhalation, in which the medication actually causes the airways to constrict instead of relax. This can lead to sudden difficulty in breathing, wheezing, and coughing. If a patient experiences paradoxical bronchospasm after taking Albuterol, the nurse should hold the medication and notify a healthcare professional immediately for further evaluation and alternative treatment options. Insomnia, nausea, and headache are known side effects of Albuterol but do not require immediate discontinuation of the medication or notification of a healthcare professional.
Question 2 of 5
While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect?
Correct Answer: C
Rationale: Beta blockers are medications commonly used to treat angina by reducing the heart's workload and oxygen demand. One common side effect of beta blockers is bradycardia, which is a slower than normal heart rate. Since beta blockers work by blocking the effects of adrenaline on the heart, they can slow down the heart rate. It is important for the nurse to monitor the patient for signs and symptoms of bradycardia, such as fatigue, dizziness, and confusion, especially when assessing a patient taking beta blockers for angina.
Question 3 of 5
The nurse teaches a class about medication used during pregnancy to pregnant women. The nurse determines that additional instruction is required when a class participant makes which response?
Correct Answer: A
Rationale: Drugs harm fetuses across trimesters-first (organogenesis) is critical, but later effects (e.g., growth) occur, so this needs correction. Avoiding OTC drugs is wise-many risk harm. Teratogens cause death or defects, true. Breast milk transfers drugs, also true. First-trimester-only harm misstates risk, requiring reteaching.
Question 4 of 5
A patient is taking digoxin (Lanoxin) and a loop diuretic daily. When the nurse enters the room with the morning medications, the patient states, I am seeing a funny yellow color around the lights. What is the nurse™s next action?
Correct Answer: A
Rationale: The patient's statement about seeing a funny yellow color around the lights could be an early sign of digoxin toxicity. Digoxin toxicity can cause visual disturbances, such as seeing yellow or green halos around lights. Therefore, the nurse's next action should be to assess the patient for other symptoms of digoxin toxicity to determine the need for further intervention or medical attention.
Question 5 of 5
ACE inhibitors:
Correct Answer: D
Rationale: ACE inhibitors increase bradykinin by blocking its breakdown, not decrease it, so that's false. Hyperkalemia is more common in diabetes due to renal issues, not less, making that false. They're not absolutely contraindicated with NSAIDs, though caution applies, so that's incorrect. They decrease efferent arteriolar resistance, reducing glomerular pressure, a true statement, key in renoprotection. They don't reduce prostaglandins (NSAIDs do). This hemodynamic effect is vital in hypertension and diabetic nephropathy.