ATI RN
ATI Pharmacology NRSG 106 Fletcher Exam Questions
Question 1 of 5
A nurse is teaching a client who is to begin taking tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Clotting. Tamoxifen is known to increase the risk of blood clots, which can lead to serious complications like deep vein thrombosis or pulmonary embolism. The mechanism of action of tamoxifen involves blocking estrogen receptors, which can lead to a pro-coagulant state. Constipation (choice
A), tinnitus (choice
C), and urinary retention (choice
D) are not commonly associated adverse effects of tamoxifen. Constipation is more often linked to opioid medications, tinnitus to ototoxic drugs, and urinary retention to medications with anticholinergic effects.
Question 2 of 5
A nurse is calculating the intake of a client during the past 9 hr. The client's intake includes lactated Ringer's IV at 150 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL; two IV bolus infusions of 250 mL of 6.0% sodium chloride, famotidine 20 mg IV intermittent bolus in 50 mL of 0.9% sodium chloride. How many mL of intake should the nurse record?
Correct Answer: C
Rationale: The correct answer is C: 2525 mL.
To calculate the total intake, add up the intake from each item: Lactated Ringer's IV (150 mL/hr x 9 hr = 1350 mL), cefazolin (100 mL), packed RBCs (275 mL + 250 mL = 525 mL), IV bolus infusions of 6.0% sodium chloride (250 mL + 250 mL = 500 mL), and famotidine (50 mL). Adding all these values together: 1350 + 100 + 525 + 500 + 50 = 2525 mL.
Choice A is incorrect as it does not account for all the components.
Choice B is incorrect as it underestimates the total intake.
Choice D is incorrect as it overestimates the total intake.
Question 3 of 5
During the administration of finasteride, the nurse must remember which important precaution?
Correct Answer: C
Rationale: The correct answer is C because finasteride is a teratogenic drug that can harm the fetus if handled by pregnant women.
Step 1: Finasteride is a pregnancy category X drug, meaning it should not be handled by pregnant women due to the risk of teratogenic effects on the fetus.
Step 2: Pregnant women or women planning to become pregnant should not handle crushed or broken finasteride tablets to avoid potential harm to the fetus.
Step 3: This precaution is crucial to prevent birth defects in the fetus. Summary:
Choices A, B, and D are incorrect as alopecia is not a common adverse effect of finasteride, it is not given by deep intramuscular injection, and it does not need to be taken on an empty stomach.
Question 4 of 5
During a routine checkup, a patient states that she is unable to take the prescribed antihistamine because of one of its most common adverse effects. The nurse suspects that which adverse effect has been bothering this patient?
Correct Answer: C
Rationale: The correct answer is C: Drowsiness. Antihistamines commonly cause drowsiness as a side effect due to their sedative properties. This can impact a patient's ability to function normally and may lead to safety concerns.
Choices A, B, and D are not typical adverse effects of antihistamines. Constipation and abdominal cramps are more commonly associated with anticholinergic medications, while decreased libido is not a common side effect of antihistamines.
Therefore, C is the most likely adverse effect affecting the patient's ability to take the prescribed antihistamine.
Question 5 of 5
A nurse is receiving a telephone prescription for a client and documents it as metformin 500 mg PO BID. Which of the following elements should the nurse identify is missing from the prescription?
Correct Answer: C
Rationale: The correct answer is C: Medication. In the prescription, "metformin 500 mg PO BID," the medication is missing. The nurse should identify the missing medication name as it is crucial for accurate administration. Dosage, route, and time/frequency are all provided in the prescription, so they are not missing. The other choices (A, B,
D) are incorrect as they are all present in the prescription.