ATI RN
ATI Pharmacology Proctored Exam 2023 Questions
Question 1 of 5
When a client is prescribed hydrochlorothiazide, what adverse effect should they monitor for as instructed by the nurse?
Correct Answer: A
Rationale: Hyponatremia is a critical adverse effect associated with hydrochlorothiazide use. This medication is a diuretic that can lead to excessive loss of sodium and water from the body, potentially causing low sodium levels and resulting in hyponatremia. Monitoring for signs and symptoms of hyponatremia, such as confusion, headache, weakness, and muscle cramps, is essential to prevent serious complications.
Question 2 of 5
A client has a prescription for ceftriaxone. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The nurse should instruct the client to discontinue ceftriaxone if a rash develops, as it could indicate an allergic reaction that needs to be reported to the healthcare provider for further evaluation and management.
Question 3 of 5
A client is being discharged with a new prescription for Atenolol. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Atenolol is a beta-blocker that can cause bradycardia (slow heart rate). Monitoring the heart rate regularly is essential to detect any significant decreases promptly. This allows for timely intervention and adjustment of the medication regimen if needed, helping to prevent adverse effects associated with bradycardia.
Question 4 of 5
A client is prescribed an IM dose of penicillin. The client reports developing a rash after taking penicillin 3 years ago. What should the nurse do?
Correct Answer: B
Rationale: The nurse should withhold the medication and inform the provider of the client's previous rash after taking penicillin. This history suggests a potential allergic reaction to penicillin, which can range from mild to severe anaphylaxis. Notifying the provider allows for an alternative antibiotic to be prescribed, considering the client's allergy to penicillin. It is crucial to avoid administering a medication that could potentially lead to a severe allergic reaction in the client.
Question 5 of 5
A client with breast cancer is receiving cyclophosphamide. Which of the following findings should the nurse monitor?
Correct Answer: D
Rationale: The nurse should monitor the client for hemorrhagic cystitis when receiving cyclophosphamide due to its potential to cause bladder irritation and lead to this serious adverse effect. It is essential to assess for symptoms such as hematuria, dysuria, and flank pain.
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