ATI RN
ATI Pharmacology II Quiz Questions
Extract:
Question 1 of 5
After taking the medication guaifenesin (Mucinex), the client complains of coughing up phlegm. What is the best response by the nurse?
Correct Answer: A
Rationale: Coughing up phlegm is a normal effect of guaifenesin, which loosens mucus for expectoration.
Question 2 of 5
Decongestants should be used with caution in patients with which diagnoses?
Correct Answer: B,D
Rationale: Decongestants can increase blood pressure and heart rate, posing risks in hypertension and heart disease. Diabetes, hyperthyroidism, and allergic rhinitis are not typical contraindications.
Question 3 of 5
A client has prescriptions for albuterol (Proventil HFA) and salmeterol (Serevent). Which instruction should the nurse provide for this client?
Correct Answer: D
Rationale: Albuterol (short-acting) and salmeterol (long-acting) are both beta agonists, and taking them together increases the risk of side effects like tachycardia. They should be used as directed, typically not simultaneously.
Question 4 of 5
The patient's family is asking questions about the medications used in the treatment for shock. The nurse explains that dopamine is one of the drugs being used and that it works:
Correct Answer: B,C,E
Rationale: Dopamine at high doses increases cardiac output, at low doses enhances renal blood flow, and at higher doses causes vasoconstriction to raise blood pressure. It is not used for anaphylaxis.
Question 5 of 5
A nurse is caring for a client who has been taking oxymetazoline (Afrin) nasal spray for the past 10 days for allergic rhinitis. The nurse should monitor client for which of the following manifestations as an adverse effect of this medication?
Correct Answer: D
Rationale: Oxymetazoline overuse leads to rebound congestion, worsening nasal congestion. It does not cause sedation, constipation, or productive cough.