ATI RN
ATI RN Pharmacology 2019 Questions
Extract:
Question 1 of 5
A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply)
Correct Answer: B,D,E
Rationale: Multiple health problems, polypharmacy, and decreased renal function increase adverse drug reaction risks in older adults. Decreased body fat and increased absorption are incorrect.
Question 2 of 5
A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 Ib) since the last visit 2 days ago. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Rapid weight gain indicates fluid retention, requiring immediate provider notification. Other actions are secondary.
Question 3 of 5
A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings is a therapeutic effect of naloxone?
Correct Answer: C
Rationale: Naloxone reverses opioid-induced respiratory depression, increasing respiratory rate. It may cause hypertension, nausea, or pain due to opioid withdrawal.
Question 4 of 5
A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: B
Rationale: Pruritus is a common side effect of epidural morphine due to histamine release. Other effects are unrelated.
Question 5 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.