ATI RN
ATI Pharmacology Exam Final Questions
Extract:
Question 1 of 5
A nurse is teaching a client Who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Avoid driving until effects are known. This is important because cyclobenzaprine can cause drowsiness or dizziness, which can impair the ability to drive safely. By advising the client to avoid driving until they know how the medication affects them, the nurse is promoting safety. Monitoring for increased muscle spasms (choice
A) is not necessary as cyclobenzaprine is a muscle relaxant. Discontinuing medication if nausea occurs (choice
B) is not typically required unless severe. Expecting urine to turn orange (choice
D) is not a common side effect of cyclobenzaprine.
Question 2 of 5
A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize Which of the following medications can cause glucose intolerance?
Correct Answer: C
Rationale: The correct answer is C: Prednisone. Prednisone is a corticosteroid that can cause glucose intolerance by increasing blood sugar levels through various mechanisms, such as decreasing insulin sensitivity and increasing gluconeogenesis. Cimetidine (
A) is an H2 blocker used for heartburn. Dextromethorphan (
B) is a cough suppressant. Atorvastatin (
D) is a statin used to lower cholesterol. None of these medications are known to cause glucose intolerance.
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: B
Rationale: The correct answer is B: Wash the affected area with soap and water before applying cream. This instruction is important to ensure proper hygiene, remove any dirt or debris, and maximize the effectiveness of the medication. Washing the area helps prevent further infection and promotes better absorption of the gentamicin cream.
Choice A is incorrect because fluid intake is not directly related to the topical application of the cream.
Choice C is incorrect as blurred vision is not a common side effect of topical gentamicin.
Choice D is incorrect as applying the cream to large areas beyond the infection may lead to unnecessary exposure and potential side effects.
Question 4 of 5
A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?
Correct Answer: A
Rationale:
Correct
Answer: A - A client received crushed bupropion XL tablet mixed with applesauce.
Rationale:
1. Bupropion XL (extended-release) should never be crushed as it can alter drug delivery and cause adverse effects.
2. Mixing with applesauce can further impact drug absorption and effectiveness.
3. Crushing XL tablets can result in a potentially harmful overdose due to rapid release.
4. Incident report is necessary to document and investigate this error for corrective actions.
Summary:
B - Demerol injection site and needle gauge choice are within acceptable parameters for administration.
C - Using a 25-gauge needle for heparin injection is common practice and not a safety concern.
D - Giving gentamicin over 1 hour is a standard administration method and does not warrant an incident report.
Question 5 of 5
A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize Which of the following findings in the client's history is a contraindication to this medication?
Correct Answer: C
Rationale:
Rationale: The correct answer is C, a history of gastric ulcers. Aspirin can irritate the stomach lining, potentially worsening gastric ulcers. Migraine headaches (
A) do not contraindicate aspirin use. Glaucoma (
B) and amenorrhea (
D) are not related to aspirin use. Summary: A history of gastric ulcers is a contraindication for aspirin due to the risk of aggravating stomach issues. Migraine headaches, glaucoma, and amenorrhea do not pose a direct risk with aspirin use.