ATI RN
Pharmacology and the Nursing Process Test Bank Free Questions
Question 1 of 5
The nurse administers chemotherapeutic drugs to a client with cancer. What adverse effects are most common?
Correct Answer: B
Rationale: The correct answer is B: Nausea and vomiting. Chemotherapeutic drugs commonly cause nausea and vomiting due to their effect on the gastrointestinal system. This is because these drugs can irritate the stomach lining and trigger the vomiting center in the brain. Nausea and vomiting are well-documented side effects of chemotherapy and are often managed with antiemetic medications. A: Painful mouth sores are a common side effect of some chemotherapeutic drugs, but they are not the most common adverse effect. C: Frequent diarrhea can occur as a side effect of chemotherapy, but it is less common than nausea and vomiting. D: Constipation is not a common adverse effect of chemotherapeutic drugs; in fact, diarrhea is more commonly seen.
Question 2 of 5
The nurse understands that an anaphylactic reaction is considered which of the following types of hypersensitivity reactions?
Correct Answer: A
Rationale: The correct answer is A: Type I hypersensitivity reaction. In Type I hypersensitivity, anaphylactic reactions involve immediate IgE-mediated responses to allergens, leading to histamine release and potentially life-threatening symptoms. This type of reaction is characterized by rapid onset and systemic involvement. Choices B, C, and D are incorrect because Type III reactions involve immune complex deposition leading to inflammation (B), Type II reactions involve cytotoxic antibodies targeting cells (C), and Type IV reactions involve delayed cell-mediated responses (D).
Question 3 of 5
A nurse approaches a hospitalized poststroke patient from the patient�s left side to do an assessment. The patient is staring straight ahead, and does not respond to the nurse�s presence or voice. Which action should the nurse take first?
Correct Answer: A
Rationale: Rationale: 1. By approaching the patient from the other side, the nurse can assess if the patient has a visual field deficit. 2. This step helps determine if the lack of response is due to a sensory issue. 3. It allows the nurse to rule out unilateral neglect or hemianopsia. 4. Walking to the other side is a basic assessment technique to evaluate visual and sensory deficits in poststroke patients. Other Choices: B. Speaking more loudly and clearly may not address the potential sensory issues the patient is experiencing. C. Waving fingers in front of the patient's face does not provide a comprehensive assessment of visual field deficits. D. Using a picture may be helpful, but addressing the potential visual field deficit should be prioritized first.
Question 4 of 5
The nurse is caring for a client who�s hypoglycemic. This client will have a blood glucose level:
Correct Answer: A
Rationale: The correct answer is A, below 70mg/dl, for a hypoglycemic client. Hypoglycemia is defined as low blood glucose levels, typically below 70mg/dl. Symptoms of hypoglycemia include confusion, sweating, shakiness, and palpitations. Treating hypoglycemia involves providing the client with a fast-acting source of glucose to raise their blood sugar levels quickly. Choices B, C, and D are incorrect as they indicate normal or elevated blood glucose levels, which are not characteristic of hypoglycemia. It is crucial for the nurse to recognize and promptly address hypoglycemia to prevent potential complications.
Question 5 of 5
Which of the ff. descriptions by the nurse would best explain glaucoma to a patient?
Correct Answer: B
Rationale: The correct answer is B: "There is an increase in the intraocular pressure." Glaucoma is a group of eye conditions that damage the optic nerve due to increased pressure within the eye. High intraocular pressure is a key factor in the development of glaucoma. Choice A is incorrect because glaucoma is not associated with an increase in vitreous humor. Choice C is incorrect as glaucoma is not related to a decrease in aqueous humor. Choice D is incorrect because glaucoma is characterized by an increase, not a decrease, in intraocular pressure. Therefore, the most accurate description to explain glaucoma to a patient is the one that mentions the increase in intraocular pressure.
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