ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
A client tells the nurse that he is having nausea and decreased appetite during drug therapy with a tetracycline antibiotic. Which statement is the nurse's best advice to the client?
Correct Answer: B
Rationale: Water helps dilute and flush the drug down. Milk, yogurt, and antacids affect absorption of tetracycline.
Question 2 of 5
A client is receiving high doses of methotrexate and is experiencing severe bone marrow suppression. The nurse expects which intervention to be ordered with this drug to reduce this problem?
Correct Answer: B
Rationale: Methotrexate is a dihydrofolate reductase inhibitor which inhibits synthesis of building blocks for DNA synthesis and repair. Leucovorin rescue helps mitigate bone marrow suppression.
Question 3 of 5
What is the nurse's priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?
Correct Answer: C
Rationale: Extravasation can cause severe damage and necrosis; stopping the infusion and leaving the catheter in place for aspiration is critical.
Question 4 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 5 of 5
A client tells the nurse that he is having nausea and decreased appetite during drug therapy with a tetracycline antibiotic. Which statement is the nurse's best advice to the client?
Correct Answer: B
Rationale: Water helps dilute and flush the drug down. Milk, yogurt, and antacids affect absorption of tetracycline.