ATI RN
ATI Nurs 180 Pharmacology Quiz II Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART) for HIV which includes zidovudine. The nurse should include teaching regarding which black box warning associated with this medication?
Correct Answer: A
Rationale: Zidovudine carries a black box warning for lactic acidosis, a rare but serious complication. Clients should be educated on symptoms like muscle pain and weakness. It is not associated with uterine cancer, oral candidiasis (though common in HIV), or thromboembolic events.
Question 2 of 5
The charge nurse is performing an Inservice regarding the adverse effects of antibiotic therapy. Which of the following antibiotics should the nurse include regarding the potential to cause QT prolongation?
Correct Answer: A,C
Rationale: Fluoroquinolones (e.g., ciprofloxacin, levofloxacin) and macrolides (e.g., azithromycin, erythromycin) are known to prolong the QT interval, increasing the risk of arrhythmias like
Torsades de Pointes. Penicillins, beta-lactams (which include penicillins and cephalosporins), and cephalosporins are not typically associated with QT prolongation.
Question 3 of 5
A client recently diagnosed with Iron deficiency Anemia is prescribed Ferrous Sulfate daily. Which of the following statements below is true regarding iron therapy?
Correct Answer: A
Rationale: Liquid ferrous sulfate can stain teeth, so using a straw prevents discoloration. Iron is better absorbed on an empty stomach or with vitamin C, not at night specifically. Antacids and milk (containing calcium) reduce iron absorption.
Question 4 of 5
The nurse is administering an estrogen blocker to a client diagnosed with advanced breast cancer. Which of the following side effects will the nurse caution the client regarding?
Correct Answer: D
Rationale: Estrogen blockers like tamoxifen increase the risk of thromboembolic events (e.g., deep vein thrombosis, pulmonary embolism) due to altered clotting mechanisms. Tendon rupture, phlebitis, and lymphomas are not typical side effects.
Question 5 of 5
The nurse is caring for a client receiving ciprofloxacin for treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?
Correct Answer: B
Rationale: Ciprofloxacin, a fluoroquinolone, has a black box warning for tendonitis and tendon rupture, particularly in older adults or those on corticosteroids. It is not associated with thromboembolic events, endometrial cancer, or breast cancer.