5
lOMoAR
45 cPSD|
4 28505380
54 54
lOMoAR cPSD| 28505380
ATI Pharmacology 2023 Exam
1) A54nurse54is54caring54for54a54pt54who54is54receiving54Haloperidol.54The54nurse54should54identify54which54of54the54following54findings54as54an54adverse
54effect54of54the54med?
-Akathisia54=54CORRECT54ANSWER
An54adverse54effect54associated54with54haloperidol54is54the54development54of54extrapyramidal54manifestations54such54as54dystonia,54pseudopar
kinsonism,54and54akathisia.
-Paresthesia
Haloperidol,54an54antipsychotic54neuroleptic54medication,54can54cause54CNS54adverse54effects54such54as54seizures,54confusion,54and54neuroleptic5
4syndrome.54However,5 4 paresthesia54is54not54an54adverse54effect54of54haloperidol.
-Excess54tear54production
Haloperidol54has54anticholinergic54properties54that54can54cause54sensory54adverse54effects54such54as54increased54intraocular54pressure,54blurre
d54vision,54and54dry54eyes.
-Anxiety
Haloperidol54can54be54prescribed54to54treat54severe54agitation54as54well54as54psychotic54manifestations.
2) A54nurse54is54providing54teaching54to54a54pt54who54is54to54start54taking54Sumatriptan.54Which54of54the54following54adverse54effects54should54the5
4nurse54instruct5 4 the54pt54to54monitor54for54and5 4 report54to54the54provider?
-Chest54pressure=54CORRECT54ANSWER
Sumatriptan54is54an54antimigraine54agent54which54can54cause54coronary54vasospasms,54resulting54in54angina.54The54client54should54report54c
hest54pressure54or54heavy54arms54to5 4 the54provider.
-White54patches54on54the54tongue
White54patches54on54the54tongue54can54indicate54a54fungal54infection,54which54is54not54an54adverse54effect54of54sumatriptan.
-Bruising
Ecchymosis54can54indicate54thrombocytopenia,54which54is54not54an54adverse54effect54of54sumatriptan.
-Insomnia
Sumatriptan54can54cause54drowsiness54and54sedation54as54an54adverse54effect54of54the54medication.
3) A54nurse54is54teaching54a54pt54who54is54starting54to54take54Amitriptyline.54Which54of54the54following54findings54should54the54nurse54include54in
54the54teaching54as54an54adverse54effect54of54the5 4 med?
-Diarrhea
Constipation54is54an54adverse54effect54of54amitriptyline.
-Cough
Developing54a54cough54is54not54an54adverse54effect54of54amitriptyline.
-Urinary54retention54=54CORRECT54ANSWER
The54nurse54should54instruct54the54client54that54amitriptyline54causes54the54anticholinergic54effect54of54urinary54retention.
-Increased54libido
A54decrease54in54libido54is54an54adverse54effect54of54amitriptyline.
4) A54nurse54is54assessing54a54pt54who54is54taking54Tamoxifen54to54treat54breast54cancer.54Which54of54the54following54findings54is54the54priority54for54th
e54nurse54to54report54to54the54provider?
-Hot54flashes
The54client54is54at54risk54for54hot54flashes54as54an54adverse54effect54of54tamoxifen;54however,54another54finding54is54the54priority54to54report5
4to54the54provider.54The54nurse54should5 4 encourage54the54client54to54avoid54caffeine54and54spicy54foods54to54prevent54hot54flashes.
-Gastrointestinal54irritation
The54client54is54at54risk54for54gastrointestinal54irritation54(GI)54as54an54adverse54effect54of54tamoxifen;54however,54another54finding54is54the54pr
iority54to54report54to54the54provider.54The5 4 nurse54should54administer54the54medication54with54food54or54fluids54to54reduce54GI54irritation.
-Vaginal54dryness
The54client54is54at54risk54for54vaginal54dryness54as54an54adverse54effect54of54tamoxifen;54however,54another54finding54is54the54priority54to54rep
ort54to54the54provider.54The54nurse54should5 4 encourage54the54client54to54use54vaginal54moisturizers54if54dryness54occurs.
-Leg54tenderness54=54CORRECT54ANSWER
The54greatest54risk54to54this54client54is54the54development54of54a54thromboembolism,54which54is54an54adverse54effect54of54tamoxifen.54The54n
urse54should54also54monitor54the54client5 4 for54other54manifestations54of54a54thromboembolism,54including54leg54tenderness,54redness,54swel
ling,54and54shortness54of54breath.
, 5
lOMoAR
45 cPSD|
4 28505380
5) A54nurse54is54teaching54a54pt54who54is54taking54Allopurinol54for54the54treatment54of54gout.54Which54of54the54following54info54should54the54nurse54inc
lude54in54the54teaching?
-Plan54to54increase54the54dosage54each54week54by5420054mg54increments.
The54nurse54should54instruct54the54client54to54increase54the54dosage54each54week54by545054to5410054mg54until54they54experience54relief54or5
4reach54a54maximum54of5480054mg54daily.
, 5
lOMoAR
45 cPSD|
4 28505380
-Prolonged54use54of54the54medication54can54cause54glaucoma.
lOMoAR
45 cPSD|
4 28505380
54 54
lOMoAR cPSD| 28505380
ATI Pharmacology 2023 Exam
1) A54nurse54is54caring54for54a54pt54who54is54receiving54Haloperidol.54The54nurse54should54identify54which54of54the54following54findings54as54an54adverse
54effect54of54the54med?
-Akathisia54=54CORRECT54ANSWER
An54adverse54effect54associated54with54haloperidol54is54the54development54of54extrapyramidal54manifestations54such54as54dystonia,54pseudopar
kinsonism,54and54akathisia.
-Paresthesia
Haloperidol,54an54antipsychotic54neuroleptic54medication,54can54cause54CNS54adverse54effects54such54as54seizures,54confusion,54and54neuroleptic5
4syndrome.54However,5 4 paresthesia54is54not54an54adverse54effect54of54haloperidol.
-Excess54tear54production
Haloperidol54has54anticholinergic54properties54that54can54cause54sensory54adverse54effects54such54as54increased54intraocular54pressure,54blurre
d54vision,54and54dry54eyes.
-Anxiety
Haloperidol54can54be54prescribed54to54treat54severe54agitation54as54well54as54psychotic54manifestations.
2) A54nurse54is54providing54teaching54to54a54pt54who54is54to54start54taking54Sumatriptan.54Which54of54the54following54adverse54effects54should54the5
4nurse54instruct5 4 the54pt54to54monitor54for54and5 4 report54to54the54provider?
-Chest54pressure=54CORRECT54ANSWER
Sumatriptan54is54an54antimigraine54agent54which54can54cause54coronary54vasospasms,54resulting54in54angina.54The54client54should54report54c
hest54pressure54or54heavy54arms54to5 4 the54provider.
-White54patches54on54the54tongue
White54patches54on54the54tongue54can54indicate54a54fungal54infection,54which54is54not54an54adverse54effect54of54sumatriptan.
-Bruising
Ecchymosis54can54indicate54thrombocytopenia,54which54is54not54an54adverse54effect54of54sumatriptan.
-Insomnia
Sumatriptan54can54cause54drowsiness54and54sedation54as54an54adverse54effect54of54the54medication.
3) A54nurse54is54teaching54a54pt54who54is54starting54to54take54Amitriptyline.54Which54of54the54following54findings54should54the54nurse54include54in
54the54teaching54as54an54adverse54effect54of54the5 4 med?
-Diarrhea
Constipation54is54an54adverse54effect54of54amitriptyline.
-Cough
Developing54a54cough54is54not54an54adverse54effect54of54amitriptyline.
-Urinary54retention54=54CORRECT54ANSWER
The54nurse54should54instruct54the54client54that54amitriptyline54causes54the54anticholinergic54effect54of54urinary54retention.
-Increased54libido
A54decrease54in54libido54is54an54adverse54effect54of54amitriptyline.
4) A54nurse54is54assessing54a54pt54who54is54taking54Tamoxifen54to54treat54breast54cancer.54Which54of54the54following54findings54is54the54priority54for54th
e54nurse54to54report54to54the54provider?
-Hot54flashes
The54client54is54at54risk54for54hot54flashes54as54an54adverse54effect54of54tamoxifen;54however,54another54finding54is54the54priority54to54report5
4to54the54provider.54The54nurse54should5 4 encourage54the54client54to54avoid54caffeine54and54spicy54foods54to54prevent54hot54flashes.
-Gastrointestinal54irritation
The54client54is54at54risk54for54gastrointestinal54irritation54(GI)54as54an54adverse54effect54of54tamoxifen;54however,54another54finding54is54the54pr
iority54to54report54to54the54provider.54The5 4 nurse54should54administer54the54medication54with54food54or54fluids54to54reduce54GI54irritation.
-Vaginal54dryness
The54client54is54at54risk54for54vaginal54dryness54as54an54adverse54effect54of54tamoxifen;54however,54another54finding54is54the54priority54to54rep
ort54to54the54provider.54The54nurse54should5 4 encourage54the54client54to54use54vaginal54moisturizers54if54dryness54occurs.
-Leg54tenderness54=54CORRECT54ANSWER
The54greatest54risk54to54this54client54is54the54development54of54a54thromboembolism,54which54is54an54adverse54effect54of54tamoxifen.54The54n
urse54should54also54monitor54the54client5 4 for54other54manifestations54of54a54thromboembolism,54including54leg54tenderness,54redness,54swel
ling,54and54shortness54of54breath.
, 5
lOMoAR
45 cPSD|
4 28505380
5) A54nurse54is54teaching54a54pt54who54is54taking54Allopurinol54for54the54treatment54of54gout.54Which54of54the54following54info54should54the54nurse54inc
lude54in54the54teaching?
-Plan54to54increase54the54dosage54each54week54by5420054mg54increments.
The54nurse54should54instruct54the54client54to54increase54the54dosage54each54week54by545054to5410054mg54until54they54experience54relief54or5
4reach54a54maximum54of5480054mg54daily.
, 5
lOMoAR
45 cPSD|
4 28505380
-Prolonged54use54of54the54medication54can54cause54glaucoma.
