ATI PHARMACOLOGY
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,Questions
Question 1
A nurse is preparing to administer Pamidronate to a client who has bone pain related to cancer. Which of the following precautions
should the nurse take when administering pamidronate?
A. Inspect the skin for redness and irritation when changing the intradermal patch.
B. Assess the IV site for Thrombophlebitis frequently during administration.
C. Instruct the client to sit upright or stand for 30 min following oral administration.
D. Watch for manifestations of anaphylaxis for 20 min after Im administration
Correct Answer
B (Pamidronate is administered by IV infusion. This medication is irritating to veins, and the nurse should assess for
thrombophlebitis during administration)
Question 2
A nurse is administering IV Acyclovir to a client who has Varicella. Which of the following actions should the nurse take?
A. Administer a stool softener
B. Decrease fluid intake following infusion.
C. Infuse Acyclovir over 1 hr
D. Monitor for a for hypotension
Correct Answer
C (The nurse should administer IV acyclovir slowly, over at least 1 hr, to prevent nephrotoxicity)
,Question 3
A nurse is teaching the parents of a school‑age child about transdermal Methylphenidate. Which of the following instructions
should the nurse include?
A. Apply one patch twice per day.
B. Leave the patch on for 9 hr.
C. Apply the patch to the child's waist.
D. Use opened tray within 6 months.
Correct Answer
B. Leave the patch on for 9 hr.
(Transdermal methylphenidate is administered for 9 hr/day.)
Question 4
A nurse is providing teaching for a client who has gout and a new prescription for Allopurinol. For which of the following adverse
effects should the client be taught to monitor? (Select all that apply.)
A. Stomatitis
B. Insomnia
C. Nausea
D. Rash
E. Increased gout pain
Correct Answer
c, d, e
(C. Nausea and vomiting are adverse effects that can be caused by allopurinol.
D. Rash and other hypersensitivity reactions can be caused by allopurinol. The client should be taught to contact the provider
for any manifestation of hypersensitivity
so that the medication can be discontinued.
E. An increase in gout attacks can occur during the first few months in a client who is taking allopurinol.)
, Question 5
A nurse is caring for a client who has cancer and is taking Morphine and Carbamazepine or pain. Which of the following effects
should the nurse monitor for when giving the medications together? (Select all that apply.)
A. Need for reduced dosage of the opioid
B. Reduced adverse effects of the opioid
C. Increased analgesic effects
D. Enhanced CNS stimulation
E. Increased opioid tolerance
Correct Answer
a, b, c
(A. Dosage of the opioid can be reduced when adjuvant medications are added for pain.
B. Adverse effects of the opioid can be reduced
when adjuvant medications are added for pain.
C. Analgesic effects are increased when
adjuvant medications are added for pain)
Question 6
A nurse is assessing a client who has chronic Neutropenia and who has been receiving Gilgrastim. Which of the following actions
should the nurse take to assess for an adverse effect of filgrastim?
A. Assess for bone pain.
B. Assess for right lower quadrant pain.
C. Auscultate for crackles in the bases of the lungs.
D. Auscultate the chest to listen for a heart murmur
Correct Answer
A (Bone pain is a dose‑related adverse effect of Filgrastim. It can be treated with acetaminophen and, if necessary, an opioid
analgesic)