ATI RN
ATI RN Pharmacology 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking tamoxifen to treat breast cancer. The nurse should identify which of the following manifestations as an adverse effect of this medication?
Correct Answer: B
Rationale: Hot flashes are a common side effect of tamoxifen due to its anti-estrogen effects. Other effects are unrelated.
Question 2 of 5
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Injecting air into the NPH vial first prevents contamination of regular insulin. The sequence is: air into NPH, air into regular, withdraw regular, then withdraw NPH.
Question 3 of 5
A nurse is planning to administer medications to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Mixing medications with semisolid food aids swallowing in dysphagia. Other actions increase choking risk.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse, 'I do not want to take this medication. I would prefer a natural therapy.' Which of the following supplements should the nurse suggest the client discuss with the provider?
Correct Answer: D
Rationale: Saw palmetto may reduce symptoms of benign prostate hypertrophy by inhibiting 5-alpha-reductase, which reduces prostate growth. Black cohosh is used for menopausal symptoms, garlic supports cardiovascular health, and feverfew treats migraines, none of which address BPH.
Question 5 of 5
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?
Correct Answer: B
Rationale: A negative sputum culture indicates successful TB treatment, showing adherence. Other outcomes are unrelated.