ATI RN
ATI Nurs 180 Pharmacology Quiz Questions
Extract:
Question 1 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? (Select All that Apply.)
Correct Answer: A,C,D
Rationale: The correct answer is A, C, and D. Propranolol, a beta-blocker, can cause masking of hypoglycemia by inhibiting the sympathetic response to low blood sugar levels. It can also lead to bradycardia due to its effect on slowing down the heart rate. Additionally, propranolol can cause orthostatic hypotension by lowering blood pressure when changing positions. Tachycardia (choice
B) and hypertension (choice E) are not common side effects of propranolol. Tachycardia would be reduced by propranolol, and it is usually prescribed to manage hypertension, not cause it.
Question 2 of 5
A client arrives to the healthcare setting and is currently taking atorvastatin daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?
Correct Answer: C
Rationale: The correct answer is C, dark-red urine. This finding could indicate a serious side effect known as rhabdomyolysis, which is a breakdown of muscle tissue that can lead to kidney damage. Reporting this immediately to the healthcare provider is crucial to prevent further complications. Migraine headache (
A) is a common side effect of atorvastatin but not typically considered urgent. Bradycardia (
B) and elevated HDL cholesterol (
D) are not directly associated with atorvastatin use.
Question 3 of 5
A client is started on gemfibrozil to assist in the lowering of triglyceride level. Which of the following side effects is associated with gemfibrozil?
Correct Answer: A
Rationale: The correct answer is A: gallstones. Gemfibrozil is known to increase cholesterol excretion into bile, which can lead to the formation of gallstones. This side effect is associated with the drug's mechanism of action in reducing triglyceride levels. Other choices are incorrect because gemfibrozil does not affect PT time (
B), does not typically cause hyperkalemia (
C), and does not increase creatinine clearance (
D).
Question 4 of 5
A client newly prescribed niacin reports flushing after their first dose. Which medication would the nurse anticipate administering to manage this side effect?
Correct Answer: C
Rationale: The correct answer is C: NSAIDs. NSAIDs, such as aspirin or ibuprofen, are commonly used to manage flushing caused by niacin by reducing prostaglandin synthesis. Beta blockers (
A) and calcium channel blockers (
B) are not effective for flushing related to niacin. Fibric acid derivatives (
D) are used to treat dyslipidemia, not flushing.
Question 5 of 5
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the vancomycin dose, convert the client's weight from pounds to kilograms: 198 lb ÷ 2.2 = 90 kg. Multiply the weight by the dose (15 mg/kg/day): 90 kg × 15 mg/kg/day = 1350 mg/day. Since this dose is divided equally every 12 hours, divide the total daily dose by 2 to get the dose per administration: 1350 mg/day ÷ 2 = 675 mg.
Therefore, the nurse should administer 675 mg with each dose.
Choice A (675 mg) is correct because it follows the appropriate calculations for determining the vancomycin dose based on the client's weight. Other choices are incorrect as they do not align with the correct calculation process.