ATI RN
ATI Nurs 180 Pharmacology Quiz II Questions
Extract:
Question 1 of 5
A client recently diagnosed with Iron deficiency Anemia is prescribed Ferrous Sulfate daily. Which of the following statements below is true regarding iron therapy?
Correct Answer: A
Rationale: Liquid ferrous sulfate can stain teeth, so using a straw prevents discoloration. Iron is better absorbed on an empty stomach or with vitamin C, not at night specifically. Antacids and milk (containing calcium) reduce iron absorption.
Question 2 of 5
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results would the nurse assess for to determine therapeutic effectiveness?
Correct Answer: B
Rationale: Epoetin alfa stimulates red blood cell production, increasing hemoglobin and hematocrit levels, which are monitored to assess effectiveness in treating anemia associated with chronic renal disease. Clotting factors, leukocyte count, and liver function tests (ALT & AST) are not directly affected by epoetin alfa.
Question 3 of 5
2-month-old patient with current active infection. Being treated with neomycin. The nurse understands that neomycin may cause serious adverse effects such as
Correct Answer: A,F
Rationale: Neomycin, an aminoglycoside antibiotic, may cause ototoxicity, leading to hearing loss or balance issues, particularly in young children or with prolonged use. It can also disrupt gut flora, potentially causing pseudomembranous colitis due to Clostridioides difficile overgrowth. Constipation, hypercalcemia, thrombocytopenia, hypotrichosis, photosensitivity, and hyperpigmentation are not commonly associated with neomycin.
Question 4 of 5
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for rifampin. The nurse should instruct the client that they should expect which of the following clinical manifestations while taking this medication?
Correct Answer: B
Rationale: Rifampin causes orange discoloration of body fluids (urine, tears, sweat), which is harmless but should be explained to avoid alarm. It does not stain teeth, cause constipation, or result in white-colored stools.
Question 5 of 5
The nurse is caring for a client receiving ciprofloxacin for treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?
Correct Answer: B
Rationale: Ciprofloxacin, a fluoroquinolone, has a black box warning for tendonitis and tendon rupture, particularly in older adults or those on corticosteroids. It is not associated with thromboembolic events, endometrial cancer, or breast cancer.