ATI RN
ATI RN Pharmacology 2019 Exam 6 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?
Correct Answer: D
Rationale: Ceftriaxone, a cephalosporin, may cause cross-reactivity in penicillin-allergic patients, making it contraindicated.
Question 2 of 5
A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Black stools are a common side effect of ferrous gluconate, and notifying the provider ensures awareness, indicating understanding.
Question 3 of 5
A nurse is reviewing the laboratory results of a client who is receiving gentamicin for staphylococcus. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: Gentamicin is nephrotoxic; a creatinine of 1.8 mg/dL suggests kidney damage, requiring immediate reporting to prevent further harm.
Question 4 of 5
A nurse is reviewing the laboratory results of a client who is receiving heparin by continuous IV infusion. Which of the following results indicates the nurse should decrease the infusion rate?
Correct Answer: A
Rationale: An aPTT of 90 seconds is prolonged, indicating excessive anticoagulation, requiring a decreased heparin rate to prevent bleeding.
Question 5 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: B
Rationale: Furosemide and amikacin are both ototoxic, increasing hearing loss risk when combined, necessitating close monitoring.