NGN ATI COMPREHENSIVE EXIT
COMPREHENSIVE EXAMS SET TESTED
QUESTIONS AND CORRECT ANSWERS
EXPERT REVIEW GRADED A+
⩥ Gentamicin.
Answer: Gentamicin is a narrow-spectrum aminoglycoside antibiotic
prescribed to treat serious infections caused by aerobic bacilli
⩥ Complications of Gentamicin.
Answer: Gentamicin can injure cells of the proximal renal tubules.
Naproxen and other NSAIDs can cause renal insufficiency.
The glomerular filtration rate of the kidneys decreases with advanced
age, making this client at increased risk for nephrotoxicity.
⩥ What lab values should a nurse monitor for a patient taking
Gentamicin?.
Answer: BUN
Blood creatinine
Peak and trough levels of gentamicin
Specific gravity of urine
Urinalysis
,⩥ BUN.
Answer: blood urea nitrogen
⩥ Nursing actions for a client taking gentamicin.
Answer: Monitor intake and output.
Notify the provider of low urinary output.
Ensure that the client is adequately hydrated and monitor for fluid
overload.
Assess for manifestations of ototoxicity.
⩥ A nurse is preparing a client's medications. The nurse is responsible
for gaining and maintaining knowledge about which of the following
medication information?.
Answer: Adverse Effects
Mechanism of Action
Contraindications
Use knowledge of the therapeutic effect and common adverse effects of
medications to compare expected outcomes with actual findings
⩥ total parenteral nutrition (TPN).
,Answer: nutrient-complete solution given directly into bloodstream
when person cannot eat by mouth
⩥ A nurse is preparing to complete an incident report for a medication
error. What information (4 things) should the nurse include in the
report?.
Answer: Time of the incident
who was notified of the incident
actions taken following the incident
client identification
⩥ Adverse effects of oxybutynin.
Answer: Anticholinergic effects
(dry mouth, eyes,)
blurred vision
Hypotension
peripheral edema
QT interval prolongation
⩥ adverse effects of fentanyl patches.
Answer: Respiratory Depression
Hypotension
Constipation
, Nausea or Vomiting
⩥ Clients who use fentanyl patches will likely need to take what on a
daily basis?.
Answer: Take a stool softener on a daily basis. Constipation is an
adverse effect of opioid use and stool softeners can decrease the severity
⩥ Adverse effects of haloperidol.
Answer: extrapyrimidal symptoms
⩥ extrapyramidal symptoms.
Answer: involuntary fine motor tremors, rigidity, uncontrollable
retlessness, dystonia, pseudoparkinsonism, and akathisia
⩥ When using dopamine to treat heart failure, what are signs to watch
indicating the medication is effective.
Answer: Dopamine is an adrenergic that causes a receptor specificity
effect, which increases cardiac output and improves perfusion. You
might notice increased urine output as well
⩥ Adverse effects of Hydrochlorothiazide.
Answer: Dizziness, vertigo, orthostatic hypotension, nausea, anorexia,
vomiting, dry mouth, diarrhea, polyuria, nocturia, muscle cramps, or
spasms. (think: LOWERS BP)
COMPREHENSIVE EXAMS SET TESTED
QUESTIONS AND CORRECT ANSWERS
EXPERT REVIEW GRADED A+
⩥ Gentamicin.
Answer: Gentamicin is a narrow-spectrum aminoglycoside antibiotic
prescribed to treat serious infections caused by aerobic bacilli
⩥ Complications of Gentamicin.
Answer: Gentamicin can injure cells of the proximal renal tubules.
Naproxen and other NSAIDs can cause renal insufficiency.
The glomerular filtration rate of the kidneys decreases with advanced
age, making this client at increased risk for nephrotoxicity.
⩥ What lab values should a nurse monitor for a patient taking
Gentamicin?.
Answer: BUN
Blood creatinine
Peak and trough levels of gentamicin
Specific gravity of urine
Urinalysis
,⩥ BUN.
Answer: blood urea nitrogen
⩥ Nursing actions for a client taking gentamicin.
Answer: Monitor intake and output.
Notify the provider of low urinary output.
Ensure that the client is adequately hydrated and monitor for fluid
overload.
Assess for manifestations of ototoxicity.
⩥ A nurse is preparing a client's medications. The nurse is responsible
for gaining and maintaining knowledge about which of the following
medication information?.
Answer: Adverse Effects
Mechanism of Action
Contraindications
Use knowledge of the therapeutic effect and common adverse effects of
medications to compare expected outcomes with actual findings
⩥ total parenteral nutrition (TPN).
,Answer: nutrient-complete solution given directly into bloodstream
when person cannot eat by mouth
⩥ A nurse is preparing to complete an incident report for a medication
error. What information (4 things) should the nurse include in the
report?.
Answer: Time of the incident
who was notified of the incident
actions taken following the incident
client identification
⩥ Adverse effects of oxybutynin.
Answer: Anticholinergic effects
(dry mouth, eyes,)
blurred vision
Hypotension
peripheral edema
QT interval prolongation
⩥ adverse effects of fentanyl patches.
Answer: Respiratory Depression
Hypotension
Constipation
, Nausea or Vomiting
⩥ Clients who use fentanyl patches will likely need to take what on a
daily basis?.
Answer: Take a stool softener on a daily basis. Constipation is an
adverse effect of opioid use and stool softeners can decrease the severity
⩥ Adverse effects of haloperidol.
Answer: extrapyrimidal symptoms
⩥ extrapyramidal symptoms.
Answer: involuntary fine motor tremors, rigidity, uncontrollable
retlessness, dystonia, pseudoparkinsonism, and akathisia
⩥ When using dopamine to treat heart failure, what are signs to watch
indicating the medication is effective.
Answer: Dopamine is an adrenergic that causes a receptor specificity
effect, which increases cardiac output and improves perfusion. You
might notice increased urine output as well
⩥ Adverse effects of Hydrochlorothiazide.
Answer: Dizziness, vertigo, orthostatic hypotension, nausea, anorexia,
vomiting, dry mouth, diarrhea, polyuria, nocturia, muscle cramps, or
spasms. (think: LOWERS BP)
