ATI RN
ATI Pharmacology Proctored Exam 2023 Questions
Question 1 of 5
A client is starting therapy with raloxifene. Which adverse effect should the client monitor for as instructed by the nurse?
Correct Answer: B
Rationale: Hot flashes are a common adverse effect associated with raloxifene therapy. Therefore, the nurse should instruct the client to monitor for hot flashes as part of the medication education.
Question 2 of 5
A patient on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness?
Correct Answer: C
Rationale: In older adults, reduced hepatic function can lead to prolonged effects of medications metabolized by the liver. This prolonged effect may result in drowsiness the next morning. Adjusting the dosage of the hypnotic medication may be necessary for this client.
Question 3 of 5
A client is receiving IV Dopamine for the treatment of shock. Which of the following findings indicates that the medication is effective?
Correct Answer: C
Rationale: Dopamine is a medication used in shock to increase cardiac output and improve renal perfusion. An increase in urine output indicates that the medication is effective as it shows improved renal perfusion and kidney function, which are essential for managing shock effectively.
Question 4 of 5
A client has a new prescription for Losartan. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Losartan, an angiotensin II receptor blocker (ARB), can cause hyperkalemia by affecting the renin-angiotensin-aldosterone system. Monitoring serum potassium levels is crucial to detect and manage any potential hyperkalemia, which can lead to serious cardiac arrhythmias.
Question 5 of 5
When teaching a client with a new prescription for Warfarin, which herbal supplement should the nurse instruct the client to avoid?
Correct Answer: A
Rationale: The correct answer is St. John's wort. St. John's wort can reduce the effectiveness of Warfarin by interacting with its metabolism, potentially leading to decreased anticoagulant effects. Therefore, the nurse should instruct the client to avoid using St. John's wort while taking Warfarin to prevent adverse drug interactions. Additionally, it is essential to educate the client about other herbal supplements like garlic and ginseng, which may also interact with Warfarin and should be avoided to ensure the medication's efficacy and safety.
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