ATI RN
ATI Pharmacology Proctored Exam 2019 Questions
Question 1 of 5
When starting amitriptyline, a client should be instructed to monitor for which of the following adverse effects?
Correct Answer: B
Rationale: When a client starts taking amitriptyline, an important adverse effect to monitor for is urinary retention. Amitriptyline is a tricyclic antidepressant that can cause anticholinergic effects, including urinary retention. It is crucial to educate the client on recognizing and reporting this adverse effect to their healthcare provider.
Question 2 of 5
A client is starting to take amitriptyline. The healthcare provider should instruct the client to monitor for which of the following adverse effects?
Correct Answer: B
Rationale: Urinary retention is a common anticholinergic effect associated with amitriptyline, a tricyclic antidepressant. Amitriptyline can cause relaxation of the bladder sphincter muscles, leading to urinary retention. Monitoring for this adverse effect is crucial to prevent complications and ensure prompt intervention if needed.
Question 3 of 5
When starting Alfuzosin for the treatment of Benign Prostatic Hyperplasia, a nurse is providing teaching to a client. The nurse should instruct the client that which of the following is an adverse effect of this medication?
Correct Answer: C
Rationale: The correct adverse effect of Alfuzosin is hypotension. Alfuzosin relaxes muscle tone in veins, leading to decreased cardiac output and subsequent hypotension. Patients on this medication should be advised to change positions slowly to prevent a sudden drop in blood pressure.
Question 4 of 5
A client has a new prescription for clonidine to treat hypertension. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct instruction for a client starting clonidine therapy for hypertension is to avoid driving until their reaction to the medication is known. Clonidine can cause drowsiness, so engaging in activities like driving that require alertness should be avoided until the individual understands how the medication affects them.
Question 5 of 5
A healthcare provider is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The healthcare provider should recognize that the medication affected which of the following systems in the client?
Correct Answer: C
Rationale: Extrapyramidal effects are movement disorders that can be caused by certain medications affecting the central nervous system, such as typical antipsychotic medications. These effects can lead to symptoms like tremors, muscle rigidity, and involuntary movements, which are all related to disruptions in the central nervous system.
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