ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following findings should the nurse report to the provider as an adverse effect of gentamicin?
Correct Answer: B
Rationale: The correct answer is B: Tinnitus. Gentamicin is known to cause ototoxicity, which can manifest as tinnitus (ringing in the ears). This adverse effect should be reported to the provider promptly to prevent further damage. Constipation (
A), hypoglycemia (
C), and joint pain (
D) are not typically associated with gentamicin use. Reporting tinnitus is crucial to prevent permanent hearing loss.
Question 2 of 5
Which of the following adverse effects should the nurse include in the teaching for a client who is to begin taking tamoxifen for the treatment of breast cancer?
Correct Answer: D
Rationale: The correct answer is D: Hot flashes. Tamoxifen is known to cause hot flashes as a common adverse effect due to its impact on estrogen receptors. This is important for the nurse to include in teaching as it helps prepare the client for this potential side effect.
A: Urinary retention - Not a common adverse effect of tamoxifen.
B: Constipation - Not a common adverse effect of tamoxifen.
C: Bradycardia - Not a common adverse effect of tamoxifen.
In summary, hot flashes are a common adverse effect of tamoxifen due to its anti-estrogenic properties, making it important for the nurse to educate the client on this potential side effect.
Question 3 of 5
Which of the following medications puts the client at risk for developing hearing loss?
Correct Answer: D
Rationale: The correct answer is D: Gentamicin. Gentamicin is an aminoglycoside antibiotic known to cause ototoxicity, leading to hearing loss and balance issues. It damages the hair cells in the inner ear responsible for transmitting sound signals to the brain. Rifampin (
A), Ciprofloxacin (
B), and Penicillin G (
C) are not associated with ototoxicity. In summary, Gentamicin is the only medication listed that poses a risk of hearing loss due to its ototoxic effects on the inner ear.
Question 4 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Administer the medication outside the 5 cm (2 in) radius of the umbilicus. This is important because injecting heparin too close to the umbilicus can increase the risk of bleeding or bruising. The subcutaneous injection site should be rotated to prevent tissue damage, and the abdomen is a common site for subcutaneous injections. Injecting heparin at least 5 cm away from the umbilicus helps ensure proper absorption and reduces the risk of complications. Aspirating for blood return (choice
B) is not necessary for subcutaneous injections. Rubbing vigorously after the injection (choice
C) can cause tissue irritation and should be avoided. Placing a pressure dressing on the injection site (choice
D) is not needed for subcutaneous injections.
Question 5 of 5
Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism in a client taking haloperidol?
Correct Answer: B
Rationale: The correct answer is B: Shuffling gait. Pseudoparkinsonism is a side effect of haloperidol characterized by symptoms resembling Parkinson's disease. A shuffling gait, along with tremors, rigidity, and bradykinesia, are common manifestations. A serpentine limb movement (
A) is not typically associated with pseudoparkinsonism. Nonreactive pupils (
C) are more indicative of other conditions like opioid overdose. Smacking lips (
D) may suggest tardive dyskinesia, another side effect of antipsychotic medications.