ATI RN
ATI Nurs 180 Pharmacology Quiz II Questions
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 1 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.
Extract:
Question 2 of 5
A nurse is caring for a client who recently traveled to a malaria-stricken country. The client is diagnosed with malaria and is prescribed chloroquine (Aralen). Which of the following adverse effects should the nurse educate the client regarding this medication?
Correct Answer: A
Rationale: Chloroquine is associated with retinal toxicity, which can cause vision changes or damage, necessitating regular eye exams. It is not linked to tumors, pancytopenia, or cancer.
Question 3 of 5
A nurse caring for a client receiving doxycycline for the treatment of Lyme's Disease. Which statement below should be included in the client's teaching plan?
Correct Answer: D
Rationale: Doxycycline should be taken without dairy products, as calcium in dairy can bind to the drug and reduce absorption. Sun exposure increases photosensitivity risk, water is needed to prevent esophageal irritation, and antacids interfere with absorption.
Question 4 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 5 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.