ATI RN
ATI Nurs 180 Pharmacology Quiz II Questions
Extract:
Question 1 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 2 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 3 of 5
A client diagnosed with trichomoniasis is prescribed metronidazole. The nurse should instruct the client to avoid which contraindication associated with this medication?
Correct Answer: A
Rationale: Metronidazole can cause a disulfiram-like reaction with alcohol, leading to severe nausea, vomiting, flushing, and tachycardia. Clients should avoid alcohol during and for 48 hours after therapy. Tyramine-based foods are relevant for MAOIs, not metronidazole. Apple juice and soybeans have no significant interactions with metronidazole.
Question 4 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.
Extract:
Physical examination
Vital signs
1400:
Client reports a recent episode of painful sores on the perineum, and muscle aches and chills for about 2 weeks. Client reports having unprotected sexual encounters. Client denies dysuria and reports mild vaginal itching.
Question 5 of 5
A nurse is providing an Inservice to newly graduated nurses. Which of the following vaccines would the nurse label as 'live vaccines' and should be avoided by immunocompromised clients?
| Measles |
| Inactivated Polio |
| Mumps |
| Varicella |
| Rubella |
Correct Answer: A,C,D,E
Rationale: Live-attenuated vaccines (measles, mumps, rubella, varicella) contain weakened viruses and are contraindicated in immunocompromised clients due to infection risk. Inactivated polio vaccine uses killed virus, making it safe for immunocompromised individuals.