the nurse is caring for a client who has chronic angina treatment for the condition has been unsuccessful which medication does the nurse anticipate w

ATI RN

Pharmacology ATI Proctored Exam 2023

1. The nurse is caring for a client who has chronic angina. Treatment for the condition has been unsuccessful. Which medication does the nurse anticipate will be prescribed?

A. Atenolol (Tenormin)
B. Nitroglycerin (Nitrostat)
C. Sildenafil (Viagra)
D. Ranolazine (Ranexa)

Correct answer: D

Rationale: In cases of chronic angina where initial treatment has not been successful, Ranolazine (Ranexa) is often prescribed. This medication helps by reducing the frequency of angina episodes. Atenolol, Nitroglycerin, and Sildenafil are also used in angina management but Ranolazine is more specifically indicated in cases of refractory angina where other treatments have failed.

2. Which of the following conditions is not treated with Prednisone?

A. Cushing’s disease
B. Testicular cancer
C. Lymphomas
D. Chronic leukemias

Correct answer: B

Rationale: Prednisone is not a common treatment for testicular cancer. Prednisone is used in conditions like Cushing’s disease, lymphomas, and chronic leukemias due to its anti-inflammatory and immunosuppressive properties. However, testicular cancer treatment typically involves surgery, chemotherapy, and radiation therapy, but not Prednisone.

3. A client is starting therapy with raloxifene. Which adverse effect should the client monitor for as instructed by the nurse?

A. Leg cramps
B. Hot flashes
C. Urinary frequency
D. Hair loss

Correct answer: B

Rationale: Hot flashes are a common adverse effect associated with raloxifene therapy. Raloxifene is a selective estrogen receptor modulator (SERM) used to prevent and treat osteoporosis in postmenopausal women. Hot flashes are a well-known side effect of SERMs due to their estrogen-like effects on the body. Leg cramps, urinary frequency, and hair loss are not typically associated with raloxifene therapy. Therefore, the nurse should instruct the client to monitor for hot flashes as part of the medication education.

4. A client has a new prescription for Digoxin. Which of the following instructions should the nurse include?

A. Increase your intake of bran fiber.
B. Monitor your heart rate before taking the medication.
C. Take the medication with antacids.
D. Avoid drinking orange juice.

Correct answer: B

Rationale: When a client is prescribed Digoxin, it is essential to monitor their heart rate before each dose. Changes such as a heart rate below 60 bpm should be reported to the healthcare provider promptly. This is crucial because Digoxin can affect heart rhythm, and monitoring the heart rate helps in identifying any potential issues early on.

5. What is a common side effect of Albuterol?

A. Paradoxical Bronchospasm
B. Diarrhea
C. Seizures
D. Vision Loss

Correct answer: A

Rationale: A common side effect of Albuterol is paradoxical bronchospasm, a condition where the airways become more constricted instead of relaxing. This can be a serious adverse reaction to the medication. Choices B, C, and D are incorrect as they are not commonly associated with Albuterol use. Diarrhea and seizures are not typically reported side effects of Albuterol, and vision loss is not a recognized side effect of this medication.