ATI RN
ATI Nurs 180 Pharmacology Quiz II Questions
Question 1 of 5
A charge nurse is teaching a group of nurses about the differences amongst anemia treatments. For each medication listed below, click to specify the expected treatment option.
Options | Cyanocobalamin | Folic Acid | Epogen | Ferrous Sulfate |
---|---|---|---|---|
Epogen for Anemia Due to CKD | ||||
Ferrous Sulfate for Iron Deficiency Anemia | ||||
Cyanocobalamin for Pernicious Anemia | ||||
Folic Acid for Folate Deficiency Anemia |
Correct Answer: A,B,C,D
Rationale: Epogen (epoetin alfa) treats anemia due to chronic kidney disease by stimulating red blood cell production. Ferrous sulfate addresses iron deficiency anemia by replenishing iron stores. Cyanocobalamin (vitamin B12) treats pernicious anemia caused by B12 deficiency. Folic acid corrects folate deficiency anemia. Each medication is specific to the underlying cause of anemia.
Question 2 of 5
A nurse is caring for a client recently prescribed doxycycline (Doryx) for the treatment of a urinary tract infection. Which of the following statements below applies to doxycycline (Doryx)?
Correct Answer: A,C,D,E
Rationale: Doxycycline is contraindicated in breastfeeding women as it can affect bone and teeth development in infants. It causes photosensitivity, increasing sunburn risk. Antacids (containing calcium, magnesium, or aluminum) interfere with its absorption. It can cause teeth discoloration, especially in children or during pregnancy. Hyperglycemia is not a known side effect.
Question 3 of 5
A nurse caring for a client receiving doxycycline for the treatment of Lyme's Disease. Which statement below should be included in the client's teaching plan?
Correct Answer: D
Rationale: Doxycycline should be taken without dairy products, as calcium in dairy can bind to the drug and reduce absorption. Sun exposure increases photosensitivity risk, water is needed to prevent esophageal irritation, and antacids interfere with absorption.
Question 4 of 5
A client who is newly diagnosed with metastatic breast cancer is being prepared for chemotherapy. Which of the following adverse effects below should the nurse educate the client regarding chemotherapy?
Correct Answer: A,B,D,E
Rationale: Chemotherapy targets rapidly dividing cells, causing alopecia (hair loss), bone marrow suppression (reducing blood cell production, increasing infection and bleeding risks), bleeding (due to low platelets), and nausea (from gastrointestinal irritation and vomiting center activation). Extrapyramidal symptoms are associated with antipsychotics, not chemotherapy.
Question 5 of 5
The charge nurse is performing an Inservice regarding the adverse effects of antibiotic therapy. Which of the following antibiotics should the nurse include regarding the potential to cause QT prolongation?
Correct Answer: A,C
Rationale: Fluoroquinolones (e.g., ciprofloxacin, levofloxacin) and macrolides (e.g., azithromycin, erythromycin) are known to prolong the QT interval, increasing the risk of arrhythmias like
Torsades de Pointes. Penicillins, beta-lactams (which include penicillins and cephalosporins), and cephalosporins are not typically associated with QT prolongation.