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ATI PHARMACOLOGY REAL EXAM AND 180 QUESTIONS AND CORRECT ANSWERS NEWEST LATEST//ALREADY GRADED A+ A nurse is caring for several clients who came to the clinic for a seasonal influenza immunization. The nurse should identify that which of the f $32.49   Add to cart

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ATI PHARMACOLOGY REAL EXAM AND 180 QUESTIONS AND CORRECT ANSWERS NEWEST LATEST//ALREADY GRADED A+ A nurse is caring for several clients who came to the clinic for a seasonal influenza immunization. The nurse should identify that which of the f

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ATI PHARMACOLOGY REAL EXAM AND 180 QUESTIONS AND CORRECT ANSWERS NEWEST LATEST//ALREADY GRADED A+ A nurse is caring for several clients who came to the clinic for a seasonal influenza immunization. The nurse should identify that which of the following clients is a candidate to receive the vacc...

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  • November 14, 2024
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  • 2024/2025
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ATI PHARMACOLOGY REAL EXAM AND 180 QUESTIONS AND
CORRECT ANSWERS NEWEST 2024-2025 LATEST//ALREADY
GRADED A+
A nurse is caring for several clients who came to the clinic for a seasonal influenza immunization. The
nurse should identify that which of the following clients is a candidate to receive the vaccine via nasal
spray rather than an injection?

A. 1-year-old who has no health problems

B. 17-year-old who has a hypersensitivity to Penicillin

C. 25-year-old who is pregnant

D. 52-year-old who takes a multivitamin supplement - ANSWER-B (A 17-year-old can be immunized for
influenza with the LAIV via nasal spray. A hypersensitivity to penicillin is not a contraindication for an
influenza immunization)



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 - ANSWER-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.

E. Teach parents to give aspirin on a schedule for 24 hr after immunization - ANSWER-b, d

(B. Subcutaneous immunizations may be administered in either the anterolateral thigh or the outer
aspect of the upper arm to infants and children.

D.Giving the infant a pacifier during injections is a comfort measure that should be encouraged by the
nurse.)

,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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-A (Mesna is a uroprotectant agent that
can help prevent hemorrhagic cystitis when administered IV with a nitrogen mustard chemotherapy
medication)



A nurse is preparing to administer Leucovorin to a client who has cancer and is receiving chemotherapy
with Methotrexate. Which of the following responses should the nurse use when the client asks why
Leucovorin is being given?

A. "Leucovorin reduces the risk of a transfusion reaction from methotrexate."

B. "Leucovorin increases platelet production and prevents bleeding."

C. "Leucovorin potentiates the cytotoxic effects of methotrexate."

D. "Leucovorin protects healthy cells from methotrexate's toxic effect." - ANSWER-D (Leucovorin, a folic
acid derivative and an antagonist to methotrexate, is given within 12 hr of high doses of methotrexate
to protect healthy cells from the toxic effects of methotrexate)



A nurse is teaching a client who has breast cancer about Tamoxifen. Which of the following adverse
effects of tamoxifen should the nurse discuss with the client?

A. Irregular heart beat

B. Abnormal uterine bleeding

, C. Yellow sclera or dark-colored urine.

D. Difficulty swallowing - ANSWER-B (Vaginal discharge and bleeding are adverse effects of tamoxifen.
The client who takes tamoxifen is also at increased risk for endometrial cancer, so any abnormal
uterine bleeding should be carefully monitored and evaluated)



A nurse is caring for a client who is being treated with Interferon alfa-2b for Malignant Melanoma. For
which of the following adverse effects should the nurse monitor? (Select all that apply.) A. Tinnitus

B. Muscle aches

C. Peripheral neuropathy

D. Bone loss

E. Depression - ANSWER-b, c, e

(B.muscle aches and other flu-like manifestations are common adverse effects of interferon alfa-2b.
Acetaminophen may be prescribed to relieve these manifestations.



C. Peripheral neuropathy, dizziness, and fatigue are CNS effects that can occur when taking interferon
alfa-2b. These should be reported to the provider, and the nurse should teach the client to prevent injury
from falls.

E. Depression and mental status changes can occur with interferon alfa-2b treatment. The nurse

should assess the client for suicidal thoughts.)



A nurse is caring for a client who receives Rituximab to treat Non-hodgkin's Leukemia and who asks the
nurse how Rituximab works. Which of the following should the nurse include?

A. Blocks hormone receptors

B. Increases immune response

C. Binds with specific antigens on tumor cells

D. Stops DNA replication during cell division - ANSWER-C (Rituximab is a monoclonal antibody that binds
to specific antigens on B-lymphocytes and then destroying cancer cells.)



A nurse is implementing a plan of care for a client who has a wound infection. Which of the following
actions should the nurse perform first? A. Administer antibiotic medication.

B. Obtain a wound specimen for culture.

C. Review WBC laboratory findings.

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