ATI RN
ATI RN Pharmacology Questions
Extract:
Question 1 of 5
A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?
Correct Answer: B
Rationale: Methotrexate's immunosuppression contraindicates live vaccines like shingles, increasing infection risk.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: D
Rationale: Paroxetine, an SSRI, commonly causes drowsiness, especially during dose initiation.
Extract:
Vital Signs
Nurses' Notes
1 week ago:
Temperature 37° C (98.6° F)
Heart rate 64/min
Respiratory rate 12/min
Blood pressure 118/72 mm Hg
Today.
Temperature 37.2° C (98.9° F)
Heart rate 82/min
Respiratory rate 16/min
Blood pressure 110/68 mm Hg
Question 3 of 5
A nurse is caring for a client in the clinic. Which of the following client statements indicates to the nurse the teaching about methotrexate for stomatitis was effective? Select all that apply.
Correct Answer: A,B,C
Rationale: A: Avoiding alcohol prevents worsening of stomatitis-related mucosal irritation. B: Soft or semisolid foods reduce discomfort by minimizing chewing irritation. C: Saline rinses every 2 hours promote healing and cleanliness of oral lesions.
Extract:
Question 4 of 5
A nurse is preparing to administer erythromycin 2 g PO daily in equally divided doses every 6 hr. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number.)
Correct Answer: A
Rationale: 2 g = 2000 mg; 2000 mg ÷ 4 doses = 500 mg/dose.
Question 5 of 5
A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective?
Correct Answer: C
Rationale: Atropine counters muscarinic effects like bradycardia; a heart rate of 90/min indicates reversal of poisoning-induced bradycardia.