ATI RN
ATI Nurs 180 Pharmacology Quiz II Questions
Extract:
Question 1 of 5
A client exposed to anthrax has presented to the healthcare setting. Which of the following medications below is the treatment for this biological exposure?
Correct Answer: C
Rationale: Ciprofloxacin, a fluoroquinolone, is the recommended first-line antibiotic for treating anthrax exposure due to its efficacy against Bacillus anthracis, the bacteria causing anthrax. Amoxicillin/clavulanate is a broad-spectrum antibiotic but not preferred for anthrax. Nystatin is an antifungal and ineffective against bacterial infections. Tamoxifen is used for breast cancer and has no role in treating anthrax.
Question 2 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 3 of 5
A client diagnosed with a urinary tract infection (UTI) is prescribed sulfamethoxazole/trimethoprim. Which of the following conditions below would be a contraindication for this medication?
Correct Answer: B
Rationale: Sulfamethoxazole/trimethoprim can increase potassium levels, and captopril, an ACE inhibitor, also raises potassium, increasing the risk of hyperkalemia. Uterine cancer, osteoporosis, and multiple sclerosis do not contraindicate its use.
Question 4 of 5
A client with a leukemia has been placed on methotrexate. Which of the following mechanism of actions below describes this medication?
Correct Answer: C
Rationale: Methotrexate is an antimetabolite that inhibits dihydrofolate reductase, an enzyme involved in folic acid synthesis, impairing DNA synthesis critical for rapidly dividing cells like those in leukemia. It does not stop fungal growth, alter pH levels, or specifically inhibit helper T cells (a mechanism associated with immunosuppressive drugs like cyclosporine).
Question 5 of 5
A nurse is caring for a client who recently traveled to a malaria-stricken country. The client is diagnosed with malaria and is prescribed chloroquine (Aralen). Which of the following adverse effects should the nurse educate the client regarding this medication?
Correct Answer: A
Rationale: Chloroquine is associated with retinal toxicity, which can cause vision changes or damage, necessitating regular eye exams. It is not linked to tumors, pancytopenia, or cancer.