ATI RN
ATI Custom Pharmacology Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermittent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?
Correct Answer: C
Rationale: A severe amoxicillin allergy indicates potential cross-reactivity with cefoxitin, a cephalosporin, risking anaphylaxis. The nurse should report this to the provider.
Question 2 of 5
Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse effect if administered incorrectly?
Correct Answer: D
Rationale: Intravenous administration delivers medication directly into the bloodstream, offering the fastest onset but high risk of adverse effects if errors occur.
Question 3 of 5
A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?
Correct Answer: A
Rationale: Washing the affected area with soap and water before applying gentamicin cream ensures cleanliness, promoting effective absorption and reducing infection risk.
Question 4 of 5
A nurse is caring for a client who has an infection and a prescription for gentamicin Intermittent IV bolus every 8 hr. A peak and trough are required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?
Correct Answer: B
Rationale: Drawing a trough just before and a peak 30 minutes after gentamicin administration ensures accurate measurement of minimum and maximum serum levels.
Question 5 of 5
A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication?
Correct Answer: B
Rationale: Diphenhydramine's anticholinergic effects can cause constipation by slowing gastrointestinal motility, a common side effect the client should be aware of.