ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
What is the nurse's priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?
Correct Answer: C
Rationale: Extravasation can cause severe damage and necrosis; stopping the infusion and leaving the catheter in place for aspiration is critical.
Question 2 of 5
A client who has had abdominal surgery has been discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. The nurse will teach this client to look for which therapeutic effect?
Correct Answer: D
Rationale: Cholinergic drugs increase intestinal tone and peristalsis hence passage of stool and flatus.
Question 3 of 5
An older adult client will be taking a vasodilator for hypertension. Which adverse effect is of most concern for the older adult client taking this class of drug?
Correct Answer: D
Rationale: Vasodilators reduce peripheral vascular resistance, causing hypotension, which increases fall risk in older adults.
Question 4 of 5
A nurse is reviewing the medical record of a client who just returned to the unit following surgery and notes the client has a history of anaphylaxis in response to penicillin. The client's postoperative prescriptions include a dose of cephalexin. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The client is at risk of a life-threatening anaphylaxis as cross reactivity occurs between cephalosporin and penicillin as they both contain a beta lactam ring. Cephalexin should be avoided completely.
Question 5 of 5
A client is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram therapy?
Correct Answer: D
Rationale: Disulfiram blocks alcohol metabolism, causing unpleasant effects when alcohol-containing substances are consumed.