ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
A client is receiving her third course of chemotherapy. What will the nurse teach her about managing stomatitis, an adverse effect of this drug involving inflammation of the oral mucosa?
Correct Answer: A
Rationale: Daily mouth examination helps monitor stomatitis progression and complications.
Question 2 of 5
When a client is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?
Correct Answer: A
Rationale: Anticholinergics cause dry mouth, and artificial saliva or sugarless gum can help.
Question 3 of 5
A client is admitted with a fever of 102.80 F (39.30 C), origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in which sequence?
Correct Answer: A
Rationale: Blood and urine cultures can be collected in whichever order. However, they should be taken before antibiotic therapy. Giving antibiotics before sample collection interferes with the identification of the causative agents.
Question 4 of 5
A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin 1.5mg/kg/dose subcutaneous every 12 hr. The client weighs 245 lbs. How many mg should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Dose = Weight in kg × Dose in mg/kg = 111.13 kg × 1.5 = 167 mg.
Question 5 of 5
A client with a history of chronic obstructive pulmonary disease (CORD) and type 2 diabetes has been treated for pneumonia for the past week. The client has been receiving intravenous corticosteroids as part of his therapy. At this time, the pneumonia has resolved, but when monitoring the blood glucose levels, the nurse notices that the level is still elevated. What is the best explanation for this elevation?
Correct Answer: B
Rationale: Corticosteroids have a counter-regulatory effect, increasing glucose levels.