use of the antibiotic neomycin may decrease absorption of

ATI RN

ATI RN Custom Exams Set 5

1. The use of the antibiotic neomycin may decrease the absorption of:

A. Iron, copper, and zinc
B. Protein and amino acids
C. Fat-soluble vitamins
D. Water-soluble vitamins

Correct answer: C

Rationale: The correct answer is C. Neomycin can interfere with the absorption of fat-soluble vitamins such as vitamins A, D, E, and K. Choice A is incorrect because neomycin does not affect the absorption of iron, copper, and zinc. Choice B is incorrect as neomycin does not impact the absorption of protein and amino acids. Choice D is also incorrect as neomycin does not decrease the absorption of water-soluble vitamins like vitamin C and the B vitamins.

2. The client is admitted to the emergency department complaining of acute epigastric pain and reports vomiting a large amount of bright red blood at home. Which interventions should the nurse implement?

A. Assess the client’s vital signs
B. Start an IV with an 18-gauge needle
C. Begin iced saline lavage
D. A, B

Correct answer: D

Rationale: The correct interventions for a client presenting with acute epigastric pain and vomiting bright red blood are to assess the client’s vital signs and start an IV with an 18-gauge needle. Assessing vital signs helps in determining the client's current condition and response to treatment, while starting an IV is crucial for administering medications and fluids. Beginning iced saline lavage is not appropriate in this situation as the priority is to stabilize the client and address potential bleeding. Therefore, options A and B are correct choices, making option D the most appropriate answer.

3. Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task 'Know what your soldiers are doing during duty hours'?

A. Accountability
B. Personal/professional development
C. Individual training
D. Military appearance/physical condition

Correct answer: A

Rationale: The correct answer is A: Accountability. Accountability involves knowing what individuals are doing during duty hours, ensuring they are responsible and answerable for their actions. Personal/professional development (choice B) refers to enhancing one's skills and knowledge, individual training (choice C) focuses on specific training needs, and military appearance/physical condition (choice D) pertains to the physical presentation and fitness of individuals, not directly related to knowing what they are doing during duty hours.

4. Which discharge instruction should the nurse teach the client diagnosed with varicose veins who has received sclerotherapy?

A. Walk 15 to 20 minutes three (3) times a day.
B. Keep the legs in the dependent position when sitting.
C. Remove compression bandages before going to bed.
D. Perform Berger-Allen exercises (4) times a day.

Correct answer: A

Rationale: The correct answer is to instruct the client to walk 15 to 20 minutes three times a day. Walking is beneficial as it helps improve circulation and reduces the risk of complications following sclerotherapy. Choice B is incorrect because keeping the legs in the dependent position when sitting can lead to increased venous pressure, worsening varicose veins. Choice C is incorrect as compression bandages should typically be worn continuously, especially during the initial healing phase. Choice D is incorrect as Berger-Allen exercises are not commonly associated with post-sclerotherapy care.

5. Which drugs may cause weight gain?

A. Amphetamines
B. Steroids
C. Antibiotics
D. Nonsteroidal anti-inflammatory drugs

Correct answer: B

Rationale: Steroids are known to cause weight gain as a side effect. Amphetamines, antibiotics, and nonsteroidal anti-inflammatory drugs are not typically associated with weight gain. Amphetamines are more likely to cause weight loss due to their stimulant effects, antibiotics are not commonly linked to weight gain, and nonsteroidal anti-inflammatory drugs usually do not lead to significant weight changes.