ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
The nurse is administering intravenous vancomycin to a client who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: B. Slow infusion of vancomycin is key to avoid flush reactions. C. Normal trough levels for vancomycin are 10-20mcg/ml- 24mcg/ml increases risk of toxicity. D. Monitoring serum creatinine monitors for renal damage. E. Vancomycin can cause hearing loss and clients should be advised any early signs of ototoxicity such as ear fullness.
Question 2 of 5
A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?
Correct Answer: A
Rationale: Methotrexate can cause bone marrow suppression, leading to low platelet counts and bleeding risks.
Question 3 of 5
A client is receiving high doses of methotrexate and is experiencing severe bone marrow suppression. The nurse expects which intervention to be ordered with this drug to reduce this problem?
Correct Answer: B
Rationale: Methotrexate is a dihydrofolate reductase inhibitor which inhibits synthesis of building blocks for DNA synthesis and repair. Leucovorin rescue helps mitigate bone marrow suppression.
Question 4 of 5
During therapy with the hematopoietic drug epoetin alfa, the nurse instructs the client about adverse effects that may occur, such as:
Correct Answer: D
Rationale: Epoetin alfa increases red cell production and blood viscosity, potentially causing hypertension.
Question 5 of 5
The nurse is preparing to give a potassium supplement. Which laboratory test should be checked before the client receives a dose of potassium?
Correct Answer: B
Rationale: Serum potassium levels must be checked to prevent hyperkalemia, which can cause cardiac arrhythmias.