ATI RN
ATI Nurs 180 Pharmacology Quiz II Questions
Extract:
Question 1 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 2 of 5
A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: TB treatment typically requires 6 months of consistent medication use to eradicate the bacteria and prevent resistance. The Mantoux test is for diagnosis, not treatment monitoring. TB treatment is not lifelong, and prophylactic treatment for family is not standard unless exposure is confirmed.
Question 3 of 5
A charge nurse is teaching a group of nurses about the differences amongst anemia treatments. For each medication listed below, click to specify the expected treatment option.
| Options | Cyanocobalamin | Folic Acid | Epogen | Ferrous Sulfate |
|---|---|---|---|---|
| Epogen for Anemia Due to CKD | ||||
| Ferrous Sulfate for Iron Deficiency Anemia | ||||
| Cyanocobalamin for Pernicious Anemia | ||||
| Folic Acid for Folate Deficiency Anemia |
Correct Answer: A,B,C,D
Rationale: Epogen (epoetin alfa) treats anemia due to chronic kidney disease by stimulating red blood cell production. Ferrous sulfate addresses iron deficiency anemia by replenishing iron stores. Cyanocobalamin (vitamin B12) treats pernicious anemia caused by B12 deficiency. Folic acid corrects folate deficiency anemia. Each medication is specific to the underlying cause of anemia.
Question 4 of 5
A nurse is caring for a client. After reviewing the information in the client's medical record, which of the following provider prescriptions should the nurse anticipate? The nurse should anticipate a provider prescription for
Correct Answer: A
Rationale: The client's painful vesicular sores on the perineum, muscle aches, chills, and history of unprotected sexual encounters suggest genital herpes, treated with acyclovir, an antiviral for herpes simplex virus. Ceftriaxone treats gonorrhea, azithromycin treats chlamydia, and fluconazole treats yeast infections, none of which align with the vesicular sores and systemic symptoms.
Question 5 of 5
A client diagnosed with a urinary tract infection (UTI) is prescribed sulfamethoxazole/trimethoprim. Which of the following conditions below would be a contraindication for this medication?
Correct Answer: B
Rationale: Sulfamethoxazole/trimethoprim can increase potassium levels, and captopril, an ACE inhibitor, also raises potassium, increasing the risk of hyperkalemia. Uterine cancer, osteoporosis, and multiple sclerosis do not contraindicate its use.