ATI RN
ATI nurs 180 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
A client has been taking propylthiouracil (PTU) for 8 weeks. Which statement by the client would indicate the drug is having its desired effects? (Select all that apply).
Correct Answer: B,C,E,F
Rationale: The correct choices indicate the desired effects of PTU, a medication used to treat hyperthyroidism. (
B) Improved sleep suggests decreased hyperthyroid symptoms. (
C) Reduced anxiety is a sign of decreased thyroid hormone levels. (E) Regular menstrual cycles indicate hormonal balance. (F) Normal heart rate signifies control of hyperthyroidism.
Choices (
A) and (
D) are incorrect as they are not directly related to PTU's effects on thyroid function.
Question 2 of 5
A client recently diagnosed with Iron deficiency Anemia is prescribed Ferrous Sulfate daily. Which of the following statements below is true regarding iron therapy?
Correct Answer: A
Rationale: The correct answer is A: This medication should be taken with a straw to avoid discoloration of the teeth. Iron can stain teeth, so taking it with a straw helps to bypass direct contact with the teeth, minimizing discoloration.
Choice B is incorrect because calcium in milk can inhibit iron absorption.
Choice C is incorrect as there is no specific timing requirement to prevent constipation.
Choice D is incorrect because antacids can reduce iron absorption.
Question 3 of 5
The nurse is caring for a patient who is currently receiving oxytocin (Pitocin). What will the nurse anticipate as an expected outcome of this medication?
Correct Answer: A
Rationale: The correct answer is A: Inducing labor in full-term gestation clients. Oxytocin is a hormone that stimulates uterine contractions and is commonly used to induce labor in full-term pregnancies. It helps to initiate and strengthen contractions to facilitate the progression of labor. This medication is not used to prevent contractions in pre-term clients (choice
B), prevent pregnancy (choice
C), or increase the amounts of eggs produced during ovulation (choice
D). Oxytocin specifically targets the uterus to promote contractions, making choice A the most appropriate expected outcome for a patient receiving this medication.
Question 4 of 5
A nurse is caring for a client who is currently 34-weeks gestation. Which of the following medications would be avoided due to its category X classification?
Correct Answer: C
Rationale:
Correct
Answer: C - misoprostol (Cytotec)
Rationale: Misoprostol is classified as category X which means it has shown potential risks to the fetus. It can cause uterine contractions and may lead to abortion or birth defects.
Therefore, it should be avoided during pregnancy to prevent harm to the developing fetus.
Summary:
A: morphine - Safe for use in pregnancy, mainly used for pain relief.
B: famotidine - Considered safe for use during pregnancy, used to treat heartburn.
D: ibuprofen - Category C medication, generally avoided in the third trimester but may be used earlier in pregnancy if necessary under medical supervision.
Question 5 of 5
A client who suffers from hypertension and headaches is prescribed propranolol. The nurse would educate the client on which side effects associated with this medication?
Correct Answer: C,E,F
Rationale: The correct answers are C, E, and F. Propranolol, a beta-blocker, can cause bradycardia due to its effect on reducing heart rate. It can also mask hypoglycemia symptoms, leading to potential dangerous situations for diabetic clients. Additionally, propranolol can induce bronchoconstriction, especially in patients with underlying respiratory conditions such as asthma.
Choices A, B, and D are incorrect as rebound hypotension is not a common side effect of propranolol, vomiting is a less common side effect, and tremors are usually associated with beta-agonist medications, not beta-blockers.