ATI RN
ATI Pharmacology Online Practice 2023 A Questions
Question 1 of 5
Which instruction(s) will the nurse include when teaching patients about gentamicin? (Select all that apply.)
Correct Answer: A
Rationale: Gentamicin is an aminoglycoside antibiotic associated with ototoxicity, which can manifest as hearing loss or tinnitus. Patients should be instructed to report any changes in hearing. Sunscreen is not specifically required for gentamicin, as it does not cause photosensitivity. Intravenous gentamicin is typically infused over 30-60 minutes, not 20 minutes. Monitoring for mouth ulcers and vaginitis is not a priority with gentamicin, but renal function and ototoxicity should be closely monitored.
Question 2 of 5
The nurse is teaching a class for clients about over-the-counter (OTC) medications. The nurse determines that education has been effective when the clients make which statement?
Correct Answer: C
Rationale: Reading OTC labels and seeking clarification from a doctor if unclear ensures safe use, reflecting effective education on responsibility. Always calling the doctor is overly cautious-OTC drugs are for self-management. Pharmacists help, but label-reading is primary. Assuming OTC safety ignores risks like ibuprofen's bleeding potential. Label focus empowers clients, balancing autonomy with safety, a key learning outcome.
Question 3 of 5
A client with type 2 diabetes is prescribed insulin glargine (Lantus). Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Insulin glargine, a long-acting basal insulin, provides steady glucose control without a peak. Mixing it with regular insulin is incorrect'glargine's pH precipitates if combined, altering its action, indicating a teaching need. Same-time injection ensures consistency. Overnight control and no peak align with its 24-hour, flat profile. The misconception about mixing risks erratic glucose levels, critical in type 2 diabetes where stability is key. Further teaching must clarify glargine's unique formulation, preventing administration errors that could lead to hypo- or hyperglycemia, making B the statement requiring correction.
Question 4 of 5
A 33-year-old man with a history of asthma comes into the emergency department after getting stung by a bee. The treating physician wants to give epinephrine subcutaneously. Which of the following contraindications to this medication is noted?
Correct Answer: B
Rationale: Epinephrine treats anaphylaxis but risks exacerbating narrow-angle glaucoma . It dilates pupils, increasing intraocular pressure. Diabetes , pulmonary failure , thyroid disease , and age (E) aren't absolute contraindications. Glaucoma's risk requires caution in this asthmatic.
Question 5 of 5
Which instruction(s) will the nurse include when teaching patients about gentamicin? (Select all that apply.)
Correct Answer: A
Rationale: Gentamicin is an aminoglycoside antibiotic associated with ototoxicity, which can manifest as hearing loss or tinnitus. Patients should be instructed to report any changes in hearing. Sunscreen is not specifically required for gentamicin, as it does not cause photosensitivity. Intravenous gentamicin is typically infused over 30-60 minutes, not 20 minutes. Monitoring for mouth ulcers and vaginitis is not a priority with gentamicin, but renal function and ototoxicity should be closely monitored.