ATI RN
ATI Pharmacology Proctored Exam 2019 Questions
Question 1 of 5
A healthcare provider is caring for a group of individuals who are not immune to Varicella. The healthcare provider should prepare to administer the Varicella vaccine at this time to which of the following individuals?
Correct Answer: D
Rationale: The correct answer is the 32-year-old man with essential hypertension. Individuals who did not receive two doses of the varicella vaccine earlier in life should be immunized. Essential hypertension is not a contraindication for the varicella vaccine. Administering the vaccine to pregnant women, individuals with severe neomycin allergies, or infants is contraindicated.
Question 2 of 5
A client has a new prescription for rituximab. Which of the following findings should the nurse instruct the client to report?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Fever. When a client is prescribed rituximab, a monoclonal antibody used to treat various conditions like autoimmune diseases and certain types of cancers, they are at risk for developing infusion-related reactions, including fever. Fever can be a sign of an infusion reaction or an infection, which can be serious and require immediate medical attention. Option A) Dizziness is a common side effect of rituximab but is not typically a serious concern unless severe. Option C) Urinary frequency and Option D) Dry mouth are not commonly associated with rituximab use and would not be a priority for the nurse to instruct the client to report. Educationally, this question highlights the importance of understanding common side effects and potential adverse reactions associated with specific medications. Nurses need to educate clients on what symptoms to report promptly to ensure their safety and well-being while undergoing treatment. This knowledge helps nurses intervene early if complications arise, improving client outcomes and overall quality of care.
Question 3 of 5
A client is starting therapy with doxorubicin. Which of the following findings should the nurse instruct the client to report?
Correct Answer: C
Rationale: The correct answer is 'C: Sore throat.' Doxorubicin is known to have immunosuppressive effects, which can predispose the client to infections. A sore throat can be an early sign of infection, and prompt reporting to the healthcare provider is crucial to initiate appropriate interventions and prevent complications.
Question 4 of 5
A client is receiving treatment with bevacizumab. Which of the following findings should the nurse monitor?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Hypertension. Bevacizumab is a medication that works by inhibiting the growth of blood vessels that feed tumors. One of the common side effects of bevacizumab is hypertension due to its mechanism of action. Monitoring blood pressure is crucial to detect and manage any increase in blood pressure promptly. Option B) Hypokalemia, Option C) Hyperglycemia, and Option D) Hypocalcemia are not typically associated with bevacizumab treatment. Hypokalemia is more commonly seen with diuretic use, hyperglycemia with corticosteroid use, and hypocalcemia with medications that interfere with calcium metabolism. In an educational context, understanding the side effects of medications is essential for nurses to provide safe and effective care to their patients. Pharmacology knowledge allows nurses to anticipate, recognize, and manage potential adverse effects of medications, ensuring patient safety and positive treatment outcomes. Regular monitoring and assessment play a crucial role in early detection and intervention in case of side effects.
Question 5 of 5
A client is starting therapy with docetaxel. Which of the following findings should the nurse instruct the client to report?
Correct Answer: B
Rationale: In the context of pharmacology and specifically with docetaxel therapy, it is crucial for the nurse to instruct the client to report dyspnea. Docetaxel is a chemotherapy medication known to cause pulmonary toxicity, including interstitial pneumonia and acute respiratory distress syndrome. Dyspnea can be an early sign of these serious respiratory adverse effects and prompt reporting can lead to timely intervention to prevent further complications. Regarding the other options: A) Flushing is not typically associated with docetaxel therapy, so it is not a priority finding to report. C) Hyperglycemia is a potential side effect of some medications but is not a common or significant adverse effect of docetaxel. D) Tinnitus is not a common side effect of docetaxel and is not a priority finding in this context. Educationally, this question highlights the importance of understanding common side effects and potential adverse reactions of medications, as well as the significance of prioritizing specific findings that could indicate serious complications. Nurses need to be vigilant in educating clients about potential side effects and the importance of timely reporting to ensure safe and effective pharmacological therapy.