ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has chronic rheumatoid arthritis and a new prescription for hydroxychloroquine. The nurse should instruct the client to obtain which of the following diagnostic studies routinely?
Correct Answer: A
Rationale: Hydroxychloroquine can cause retinal toxicity, requiring routine eye examinations to monitor for vision changes and prevent irreversible damage.
Question 2 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 3 of 5
A nurse is assessing a client who reports feeling dizzy while getting out of bed. The nurse suspects orthostatic hypotension related to a medication the client is taking Which of the following medications should the nurse identify as likely causing this adverse effect?
Correct Answer: D
Rationale: Furosemide, a loop diuretic, can cause orthostatic hypotension by reducing fluid volume, leading to dizziness upon standing.
Question 4 of 5
A nurse is caring for a client who is starting to take aspirin 81 mg daily. Which of the following findings should the nurse identify as a risk factor for the client's development of an aspirin-induced ulcer?
Correct Answer: C
Rationale: Smoking increases the risk of aspirin-induced ulcers by compromising gastric mucosa integrity and impairing healing.
Question 5 of 5
A nurse discovers that a client has been administered a higher dose of oxybutynin than the prescription indicates. The nurse should assess the client for which of the following adverse effects?
Correct Answer: D
Rationale: Oxybutynin, an anticholinergic, can cause bradycardia due to inhibition of acetylcholine, which regulates heart rate. Assessing for bradycardia is critical after an overdose.