ATI Pharmacology Proctored Exam 2023

Questions 120

ATI RN

ATI RN Test Bank

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 healthcare provider is reviewing the health care record of a client who reports urinary incontinence and asks about a prescription for Oxybutynin. The provider should recognize that Oxybutynin is contraindicated in the presence of which of the following conditions?

Correct Answer: D

Rationale: Oxybutynin is an anticholinergic medication that can increase intraocular pressure. It is contraindicated in clients with glaucoma, as it can worsen the condition. Glaucoma is a condition characterized by increased intraocular pressure, and using Oxybutynin can further elevate this pressure, potentially leading to serious complications such as vision impairment or damage to the optic nerve.

Question 3 of 5

A client with end-stage cancer receiving Morphine is prescribed Methylnaltrexone. The client's daughter asks why the provider prescribed Methylnaltrexone. Which of the following responses should the nurse make?

Correct Answer: C

Rationale: Methylnaltrexone is an opioid antagonist used to treat severe constipation unrelieved by laxatives in opioid-dependent clients. It blocks the mu opioid receptors in the GI tract, helping to alleviate constipation without affecting pain relief or causing withdrawal symptoms.

Question 4 of 5

A healthcare professional is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states she took penicillin 3 years ago and developed a rash. Which of the following actions should the healthcare professional take?

Correct Answer: B

Rationale: The healthcare professional should withhold the medication and notify the provider of the client's previous reaction to penicillin. This information is crucial for the provider to prescribe an alternative antibiotic. Allergic reactions to penicillin can range from mild to severe anaphylaxis, so prior sensitization should be reported to the provider to avoid potential adverse reactions.

Question 5 of 5

A client has been taking Phenylephrine nasal drops for the past 10 days for Sinusitis. The nurse should assess the client for which of the following adverse effects of this medication?

Correct Answer: B

Rationale: After more than 5 days of use, nasal sympathomimetic medications like phenylephrine can lead to rebound nasal congestion. This occurs as a result of prolonged vasoconstriction of nasal blood vessels, causing worsening nasal congestion.

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