ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving neostigmine. Which of the following manifestations should the nurse identify as an adverse reaction to the medication?
Correct Answer: B,C,E
Rationale: Neostigmine's cholinergic effects can cause sweating, respiratory distress (due to bronchoconstriction), and bradycardia (via vagal stimulation).
Question 2 of 5
A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as an adverse effect of TPN
Correct Answer: D
Rationale: TPN can cause fluid overload, manifesting as peripheral pitting edema, indicating excess fluid accumulation in tissues.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for atenolol. Which of the following adverse effects should the nurse include in the teaching?
Correct Answer: A
Rationale: Atenolol, a beta-blocker, can cause orthostatic hypotension, leading to lightheadedness, especially when changing positions.
Question 4 of 5
A nurse in the emergency department is planning care for a client who had a myocardial infarction and is receiving thrombolytic therapy with an WV infusion of alteplase. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Monitoring for changes in level of consciousness is critical during alteplase therapy to detect intracranial bleeding, a serious complication.
Question 5 of 5
A nurse is providing teaching to a client who has a history of diabetes mellitus and a new prescription for hydrochlorothiazide to treat uncontrolled hypertension. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Hydrochlorothiazide can elevate blood glucose levels by reducing insulin sensitivity, requiring close monitoring in diabetic clients.