ATI RN
ATI Pharmacology 2016 Practice Exam A Questions
Question 1 of 9
A client with breast cancer is receiving cyclophosphamide. Which of the following findings should the nurse monitor?
Correct Answer: D
Rationale: The nurse should monitor the client for hemorrhagic cystitis when receiving cyclophosphamide due to its potential to cause bladder irritation and lead to this serious adverse effect. It is essential to assess for symptoms such as hematuria, dysuria, and flank pain.
Question 2 of 9
A healthcare provider is caring for several clients who came to the clinic for a seasonal influenza immunization. The provider should identify that which of the following clients is a candidate to receive the vaccine via nasal spray rather than an injection?
Correct Answer: B
Rationale: The correct answer is B. A 17-year-old can receive the influenza vaccine via nasal spray (LAIV) even if they have a hypersensitivity to penicillin, as this is not a contraindication for the influenza immunization. Therefore, in this scenario, the 17-year-old with a hypersensitivity to penicillin is a candidate for the nasal spray vaccine.
Question 3 of 9
While teaching a client starting therapy with rituximab, which of the following findings should the nurse instruct the client to report?
Correct Answer: B
Rationale: The nurse should instruct the client to report fever as it can be an indication of an infection, which is a potential complication of rituximab therapy. Monitoring for fever is crucial to promptly address any signs of infection and ensure the client's safety during treatment.
Question 4 of 9
A client has a new prescription for Furosemide. Which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: Furosemide, a diuretic, commonly causes hyponatremia (low sodium levels) as it increases the excretion of sodium. The nurse needs to monitor the client for signs of hyponatremia, such as confusion, weakness, and muscle cramps, by checking electrolyte levels regularly.
Question 5 of 9
A client is taking Sucralfate PO for Peptic Ulcer Disease and has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sucralfate can interfere with the absorption of phenytoin. To prevent this interaction, the client should allow a 2-hour interval between taking sucralfate and phenytoin. This timing helps to ensure adequate absorption and effectiveness of both medications without compromising therapeutic outcomes.
Question 6 of 9
A client is receiving IV Dopamine for the treatment of shock. Which of the following findings indicates that the medication is effective?
Correct Answer: C
Rationale: Dopamine is a medication used in shock to increase cardiac output and improve renal perfusion. An increase in urine output indicates that the medication is effective as it shows improved renal perfusion and kidney function, which are essential for managing shock effectively.
Question 7 of 9
A healthcare provider is providing discharge instructions to a client who is prescribed Warfarin. Which of the following dietary instructions should the provider include?
Correct Answer: B
Rationale: The correct answer is to avoid foods high in vitamin K. Vitamin K can interfere with the effectiveness of Warfarin by counteracting its anticoagulant effects. Foods high in vitamin K, such as leafy green vegetables, should be limited in the diet of individuals taking Warfarin to maintain a consistent level of the medication's effectiveness.
Question 8 of 9
A client has a new prescription for Warfarin. The nurse should identify that the concurrent use of which of the following medications increases the client's risk of bleeding?
Correct Answer: C
Rationale: The correct answer is Acetaminophen. Acetaminophen, especially in high doses, can increase the risk of bleeding in clients taking warfarin. It is important to monitor for signs of bleeding when these medications are used concurrently to prevent adverse effects.
Question 9 of 9
A client has a new prescription for Nitroglycerin sublingual tablets. Which of the following instructions should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: Nitroglycerin should be taken at the onset of chest pain, with one tablet taken every 5 minutes for up to three doses. This protocol helps to relieve angina symptoms effectively. If chest pain persists after taking three doses, emergency medical services should be contacted promptly for further evaluation and management.