ATI Pharmacology Proctored Practice A & B:
Questions from Premier Scholars Worldwide with
Thorough Explanations and Correct Responses
from Top Universities
A 12-month-old child just received the first measles, mumps, and rubella (mmR) vaccine.
For which of the following possible reactions to this vaccine should the nurse teach the
parents to monitor? (Select all that apply.)
A. Rash
B. Swollen glands
C. Bruising
D. Headache
E. Inconsolable crying - -correct ans- -a, b, c
(A. A rash and fever can develop in children 1 to 2 weeks following
mmR immunization.
B. Swollen glands can develop in children 1 to 2 weeks following
mmR immunization.
C. A temporary low platelet count, causing bruising or bleeding, can occur occasionally
following
mmR immunization)
A nurse is caring for a group of clients who are not protected against Varicella. The nurse
should prepare to administer the Varicella vaccine at this time to which of the following
clients?
,A. 24-year-old woman in the third trimester of pregnancy
B. 12-year-old child who has a severe allergy to neomycin
C. 2-month-old infant who has no health problems
D. 32-year-old man who has essential hypertension - -correct ans- -D (A 32-year-old man
who has essential hypertension and did not receive two doses of varicella vaccine earlier in
life should be immunized. Essential hypertension is not a contraindication for this vaccine)
A nurse is caring for a client who has breast cancer and asks why she is receiving a
combination therapy of Cyclophosphamide, Methotrexate, and Fluorouracil. The response
by the nurse should include that combination chemotherapy is used to do which of the
following? (Select all that apply.)
A. Decrease medication resistance
B. Attack cancer cells at different stages of cell growth
C. Block chemotherapy agent from entering healthy cells
D. Stimulate immune system
E. Decrease injury to normal body cells - -correct ans- -a, b, e
(A.medication resistance is decreased with combination therapy because the chance of
developing resistance to several medication is less than to only one medication.
B. Each medication kills cancer cells at a
different stage of growth. A combination of medications can kill more cancer cells than
only one medication.
E. Injury to normal body cells can be
decreased by combination therapy because the medications used have different toxicities)
, A nurse is preparing to administer Cyclophosphamide IV to a client who has Hodgkin's
disease. Which of the following medications should the nurse expect to administer
concurrently with the chemotherapy to prevent an adverse effect of Cyclophosphamide?
A. Uroprotectant agent, such as mesna
B. Opioid, such as morphine
C. Loop diuretic, such as furosemide
D. H1 receptor antagonist, such as diphenhydramine - -correct ans- -A (Mesna is a
uroprotectant agent that can help prevent hemorrhagic cystitis when administered IV with
a nitrogen mustard chemotherapy medication)
A nurse is teaching a group of new parents about immunizations. The nurse should instruct
the parents that the series for which of the following vaccines is completed prior to the first
birthday?
A. Pneumococcal conjugate vaccine
B. Meningococcal conjugate vaccine
C. Varicella vaccine
D. Rotavirus vaccine - -correct ans- -D (Rotavirus vaccine is administered only to infants
less than 8 months, 0 days of age)
A nurse at a provider's office is preparing to administer RV, DTaP, hib, PCV13, and IPV
immunizations to a 4-month-old infant. Which of the following actions should the nurse
plan to take? (Select all that apply.)
A. Administer IPV orally
B. Administer subcutaneous injections in the anterolateral thigh.
C. Administer Im injections in the deltoid muscle.
D. Give the infant his pacifier during vaccine injections.
Questions from Premier Scholars Worldwide with
Thorough Explanations and Correct Responses
from Top Universities
A 12-month-old child just received the first measles, mumps, and rubella (mmR) vaccine.
For which of the following possible reactions to this vaccine should the nurse teach the
parents to monitor? (Select all that apply.)
A. Rash
B. Swollen glands
C. Bruising
D. Headache
E. Inconsolable crying - -correct ans- -a, b, c
(A. A rash and fever can develop in children 1 to 2 weeks following
mmR immunization.
B. Swollen glands can develop in children 1 to 2 weeks following
mmR immunization.
C. A temporary low platelet count, causing bruising or bleeding, can occur occasionally
following
mmR immunization)
A nurse is caring for a group of clients who are not protected against Varicella. The nurse
should prepare to administer the Varicella vaccine at this time to which of the following
clients?
,A. 24-year-old woman in the third trimester of pregnancy
B. 12-year-old child who has a severe allergy to neomycin
C. 2-month-old infant who has no health problems
D. 32-year-old man who has essential hypertension - -correct ans- -D (A 32-year-old man
who has essential hypertension and did not receive two doses of varicella vaccine earlier in
life should be immunized. Essential hypertension is not a contraindication for this vaccine)
A nurse is caring for a client who has breast cancer and asks why she is receiving a
combination therapy of Cyclophosphamide, Methotrexate, and Fluorouracil. The response
by the nurse should include that combination chemotherapy is used to do which of the
following? (Select all that apply.)
A. Decrease medication resistance
B. Attack cancer cells at different stages of cell growth
C. Block chemotherapy agent from entering healthy cells
D. Stimulate immune system
E. Decrease injury to normal body cells - -correct ans- -a, b, e
(A.medication resistance is decreased with combination therapy because the chance of
developing resistance to several medication is less than to only one medication.
B. Each medication kills cancer cells at a
different stage of growth. A combination of medications can kill more cancer cells than
only one medication.
E. Injury to normal body cells can be
decreased by combination therapy because the medications used have different toxicities)
, A nurse is preparing to administer Cyclophosphamide IV to a client who has Hodgkin's
disease. Which of the following medications should the nurse expect to administer
concurrently with the chemotherapy to prevent an adverse effect of Cyclophosphamide?
A. Uroprotectant agent, such as mesna
B. Opioid, such as morphine
C. Loop diuretic, such as furosemide
D. H1 receptor antagonist, such as diphenhydramine - -correct ans- -A (Mesna is a
uroprotectant agent that can help prevent hemorrhagic cystitis when administered IV with
a nitrogen mustard chemotherapy medication)
A nurse is teaching a group of new parents about immunizations. The nurse should instruct
the parents that the series for which of the following vaccines is completed prior to the first
birthday?
A. Pneumococcal conjugate vaccine
B. Meningococcal conjugate vaccine
C. Varicella vaccine
D. Rotavirus vaccine - -correct ans- -D (Rotavirus vaccine is administered only to infants
less than 8 months, 0 days of age)
A nurse at a provider's office is preparing to administer RV, DTaP, hib, PCV13, and IPV
immunizations to a 4-month-old infant. Which of the following actions should the nurse
plan to take? (Select all that apply.)
A. Administer IPV orally
B. Administer subcutaneous injections in the anterolateral thigh.
C. Administer Im injections in the deltoid muscle.
D. Give the infant his pacifier during vaccine injections.
