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ATI Pharmacology Proctored Exam 2023 Complete Solution Package
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(latest 2023) ATI Pharmacology Proctored Exam – 70 Questions and Answers Graded A+
PHARMACOLOGY ATI 1. A nurse is providing discharge dietary teaching to a client who has a something and is taking medication theophylline and to provide g... [Show More] eneral instructions the nurse should include? Avoid caffeinated beverages Take the medication with meals Restrict milk products Limit sodium intake 2. the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Whichof the following actions should the nurse take first? Withdrawal NPH from the vial Inject air into the NPH vial (NPH is CLOUDY) Inject air into the regular vial Withdrawal regular insulin from the vial 3. a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What instructions should the nurse include? Take the medication immediately after breakfast Take the medication with an antacid Sit upright for at least 30 mins after taking the medication Drink orange juice with the medication 4. a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? Bladder distention Productive cough Gastrointestinal bleeding Decrease deep tending reflexes 5. nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching? Use nasal decongestion 15 mins before the medication if you have a stuffy nose Lie down for 1 hour after administering the medication Administer the medication into one nostril once per week Plan to self-administer this medication for the next 6 months 6. a nurse is teaching a newly license nurse about medication reconciliation. The nurse should instruct the newly license nurse for medication reconciliation for which of the following clients? Client who is transported to radiology A client who has a consultation for …. A client who has a referral for social services A client who has been transferred to a step-down unit 7. a nurse is assessing a client who received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurses priority? Back pain Flushing nausea Uterine tachysystole-(more than 5 contractions in 10 minutes) 8. a nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching? Messages the site to enhance absorption Injections the medication into a muscle Administers the medication into the abdomen Aspirates the medication after injection 9. a nurse is assessing a client how has been taking digoxin and …… which of the following findings to the nurse indicates this client has developed digoxin toxicity? Ringing in the ears Hyperkalemia Blurred vision hypertension 10. a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect? Headache Excessive salivation Fever Myoclonic seizure 11. a nurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? NPH insulin Clopidogrel Furosemide Pantoprazole 12. a nurse is assessing a who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication? Agitation Report of blurred vision Hypertension Watery diarrhea 13. a nurse is teaching a client who is to start taking Cromolyn. Which of the following information should the nurse include in the teaching? Cromolyn should take effect within 5 mins Cromolyn should dilate the bronchioles Cromolyn can be used after exercise Cromolyn is a long-term management medication 14. a nurse is reviewing the medications of a client who is experiencing orthostatic hypotension. The nurse should identify this finding as an adverse effect of which of the following medications? Imipramine-(Nerve pain and antidepressant) Levothyroxine Montelukast Omeprazole 15. a nurse is reviewing a client’s medical history before administering a new prescription of atropine. Which of the following client conditions is contraindicated? Glaucoma 16. a nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects? insomnia Blurred vision Tachypnea Metallic taste 17. math problem: a nurse is preparing to administer 4000 units of heparin available is 10,000 units = 0.4 18. a nursing is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider? Fentanyl 19. charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incident report? a client who has a lithium level of 1.8 receives her morning dose-(Therapeutic dose=0.8-1.2 mEq/L 20. a nurse is caring for a client who has an alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time? Encourage participation in a 12 step program Implement seizure precautions 21. a nurse is planning care for a group of clients. which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction? furosemide and amikacin 22. a nurse is caring for a client who has major depression and a new prescription for citalopram. which of the following adverse effects is the priority for the nurse to report to the provider? Insomnia answer is either confusion or bruxism IDK (habitual grinding of teeth) look up Bruxism-grinding, clenching or gnashing of the teeth confusion Weight loss 23. a nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. in which of the following locations should the nurse place the catheter? a vein on the clients wrist 24. a nurse is assessing a client who is in labor and is receiving epidural anesthesia. which of the following findings should the nurse identify as the priority? Hypotension 25. a nursing is providing teaching to a client who has a prescription for omeprazole. which of the following instructions should the nurse include in the teaching? long term use increases risk of fractures 26. a nurse is reviewing a client’s laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse withhold the medication and contact the provider? Potassium 2.5 mEq/L-Too low-3.5-5 27. the nurse is assessing a client who takes glipizide for the treatment of type 2 diabetes mellitus. Which of the following findings indicates effectiveness of the medication? Hgba1c 6.5%-LESS THAN 6!!! 28. a nurse in the emergency department is caring for a client who reports a severe headache. the client's blood pressure is 280/160 mm hg. the nurse should plan to administer which of the following medications? vasodilator, relaxes muscles in blood vessel to help them dilate. Nitroprusside- 29. a nurse is teaching the parent of a toddler who is to begin taking ferrous fumarate. which of the following statements by the parent indicates an understanding of the teaching? I will rinse my child's mouth with water after she takes the medicine 30. a nurse is caring for a client who is to start therapy with lovastatin. the nurse should prepare the client for which of the following diagnostic assessments? liver function test 31. a nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. which of the following expected outcomes should the nurse include in the plan? the client will wear his reading glasses when drawing insulin glargine 32. a nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. the nurse should discontinue the infusion and prepare to administer claim gluconate if the client demonstrates which of the following findings? Select all that apply absence of deep-tendon reflexes urine output 80 mL/hr-????? decreased LOC 33. a nurse is teaching a client who has a new prescription for nitroglycerin patches. the nurse should identify which of the following statements as an indication that the client understands the teaching? I will rotate application site to avoid skin irritation 34. Nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following medications should the nurse plan to teach the client about first? Metformin 35. a nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. which of the following statements is appropriate for the nurse to make? you will need to take two or more medication to treat your disease 36. a nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. which of the following actions should the nurse include in the plan of care? monitor for hearing loss 37. a nurse is obtaining a medication history from a client who has gout and is prescribed probenecid. the nurse should notify the provider that the client is taking which of the following over-the counter medications? salicylic acid 38. A nurse is teaching a client who has HIV and a new prescription for efavirenz. Which of the following instructions should the nurse include in the teaching? notify provider for the appearance of a skin rash 39. a nurse is evaluating a client who has tuberculosis and has been taking rifampin for 1 month. which of the following laboratory tests should the nurse review to evaluate for an adverse effect of this medication? ALT 40. A nurse is teaching a client who has multiple allergies about using an epinephrine auto-injector. Which of the following instructions should the nurse include? Administer the medication through clothing if necessary 41. for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? I should stay upright for 15 minutes after taking this medication. 42. nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. the nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer? 1.3 43. a nurse is caring for a client who has heart failure. the nurse administered furosemide 60 mg IV bolus30 min earlier. for which of the following findings should the nurse notify the provider? client reports difficulty hearing 44. A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects? Orthostatic hypotension [Show Less]
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ATI Pharmacology Latest Update 2023 Proctored Exam – 100- Verified Q&A
Pharmacology Final Exam Questions 1. When administering the drug senna to a patient, a health care provider must inform the patient of which of the follow... [Show More] ing a. This drug is intended to lower blood pressure and is best used in combination with other antihypertensives b. This drug is not intended for long term use c. The patient must limit his/her fiber intake d. Advise patient to change positions slowly to limit the risk of orthostatic hypotension 2. When giving digoxin (Lanoxin) to a patient, the health care provider notices various signs and symptoms of an overdose. The health care provider knows to give which of the following to reverse digoxin toxicity a. Naloxone b. Vitamin K c. Digibind d. Fluemanzil 3. While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient asks what the action of the drug is. As a health care provider, you explain that the action of an ACE inhibitor is a. To lower blood pressure by blocking the conversion of angiotensin I to vasoconstrictor angiotensin II b. To inhibit reabsorption of sodium back into the body, ultimately increasing urine output and lowering blood pressure c. To decrease heart rate and blood pressure by competing with Beta1 and Beta2 receptors in the heart and lungs d. To lower blood glucose by stimulating the release of insulin 4. Which of the following types of insulin is “long-acting”? a. Lispro (Humalog) b. NPH (Humulin N) c. Regular insulin (Humulin R) d. Glargine (Lantus) 1. What is the therapeutic use of metformin? A. Lower blood pressure. B. To diminish seizure activity. C. The maintenance of a person’s blood glucose. D. Increase heart rate and decrease gastrointestinal secretions. 1. What is the correct definition for absorption of a drug? A. Movement of drug from site of administration to various tissues of the body. B. Describes the absorption, distribution, metabolism & excretion of drugs. C. These types of drugs can be taken over the counter. D. This addresses how various drugs affect different forms of the body. 2. What do you assess for in a patient who is on Valproate? Select all that apply. A. Suicidal thoughts B. Monitor for seizures. C. Bipolar disorder. D. Migraines. 3. What is true about food and drug precautions? Select all that apply. A. You must limit certain types of food or concurrent administration of certain types of drugs. B. Certain combinations of food and drugs can cause adverse reactions. C. Precautions may require limiting certain types of food or concurring drugs rather than restricting the drug itself. D. When one drug changes the way, another drug affects that drug. 1. ACE Inhibitors are used in the treatment of all EXCEPT: a. Hypertension b. Heart Failure c. Hypotension d. Diabetic nephropathy 2. Which of the following is used to treat migraine headaches? a. Beta-blockers b. Cholinesterase Inhibitors c. ACE inhibitors d. Anti-epileptic drugs (AEDs) 3. When administering a Serotonin Antagonist it is important to monitor for a. Intake and output b. Mental status changes c. Respiratory rate d. Anorexia 4. Which of the following is the antidote for Heparin? a. Protamine sulfate b. Vitamin K c. Naloxone d. Toradol 1. A patient has been taking hydrocodone, and opioid analgesic for their moderate pain, and they have taken over their prescribed dose. What should you give as the antidote if they experience toxicity? A. Naloxone B. N-acetylcysteine C. Atropine D. Digoxin immune Fab 1. A patient is being educated on taking levothyroxine, a drug used to balance thyroid activity. What should you include in their education? A. Don’t bother your health care professionals if you experience side effects B. Take this at the same time every day C. Thyroid tests are unnecessary while taking this drug D. It is okay to take this drug if you have recently had a myocardial infarction 1. A patient states he experiences anxiety and has panic attacks at least once a week. What might be helpful for this patient? A. Phenytoin (Dilantin) B. Lithium C. Alprazolam (Xanax) D. Spironolactone 1. Which of the following is NOT an opioid or NSAID? A. Morphine B. Ibuprofen C. Hydromorphone D. Acetaminophen 1) Why is it important to monitor ins and outs with patients using ACE inhibitors? A. To assess for renal impairment B. You must make sure the patient is receiving adequate fluid intake C. To assess the patient for potential heart failure D. You must assess for NSAID use E. To assess for decreased blood pressure 2) Which drug goes through extensive first-pass hepatic metabolism? A. Heparin B. Insulin C. Propranolol D. Nitroglycerine E. Warfarin 3) What nursing interventions should you do when a patient is on Albuterol (select all that apply) A. Assess lung sounds, Pulse, and Blood pressure before administering B. Monitor for changes in behavior C. Observe for paradoxical bronchospasms D. Assess for abdominal distention E. Note sputum color and texture 4) What patient could potentially take the drug Senna? A. A patient with an eating disorder B. A patient who has not passed stool in 5 days C. A patient with anal fissures D. A patient with a history of hemorrhoids E. A patient who has hypersensitivity Question #1 What is the category class of Lithium? A. Antidiabetics, biguanides B. Mood stabilizers C. Antiarrhythmics, anticonvulsants D. Vascular headache suppressants Question #2 What do you need to teach your patient if they are taking sennosides? Select All That Apply. A. Laxatives should be used for short-term therapy B. The medication does not cure hypothyroidism C. The color of the urine may change to a pink, red, violet, yellow, or brown D. Make sure other forms of bowel regulation are being used Question #3 What is the therapeutic use of Phenytoin? A. Replacement in hypothyroidism to restore normal hormonal balance B. Diminished accumulation of acid in the gastric lumen with lessened gastroesophageal reflux C. Diminished seizure activity, termination of ventricular arrhythmias D. Prevention of thrombus formation, prevention of extension of existing thrombi Question #4 At what amount does Acetaminophen stop controlling pain? A. Over 1,000 mg B. 750 mg C. Over 1,500 mg D. 150 mg When should the drug Montelukast be taken A. Use at least two hours before exercise B. Daily in evening C. Use two hours before exercise or daily in evening D. None of the above How should the oral form of albuterol be taken A. Administer with meals to minimize gastric irritation B. Administer before meals with water C. Administer after meals with water D. Administer in the morning with milk What should a Client taking Omeprazole report to the Heath Care Provider A. Black, tarry stools B. Diarrhea C. Abdominal pain D. All of the above When administering an Antiulcer Agents, you should be more cautious when administering it to A. A healthy 27 year old patient B. Patient with renal failure C. Elderly patients D. All of the above E. Choices B & C 1. What is the common side effect that is normal with the initial therapy of Nitroglycerine due to increased vasodilation? a. Abdominal cramps b. Calf pain c. Headache d. Blurred vision *Correct answer: C *Page 906; Adverse Reactions; Davis’s Drug Guide 2. Two tests should be monitored for a patient currently on Warfarin. What are those two tests? Select ALL that apply. a. PT b. aPTT c. INR d. BMP 3. Which of the following diuretics inhibits sodium reabsorption in the kidneys while saving K+ and Hydrogen ions? a. Spironolactone b. Furosemide c. Hydrochlorothiazide d. Bumetanide 4. A nurse is about to administer Propanolol to a patient. The nurse takes the patient’s apical pulse and documents it as 58 bmp. How should the nurse continue? a. Administer the medication as normal b. Cut the tablet in half and administer half of the normal dose c. Give the XR form of the medication d. Withhold administration of the medication and notify physician 1. Which of the following should be monitored for patients taking diuretics? (select all that apply) a. Daily weight b. Intake and output c. Amount and location of edema d. Appetite e. Lung sounds 2. Which of the following drugs has a therapeutic effect that increases cardiac output and slows heart rate? a. Heparin b. Alprazolam c. Digoxin d. Levothyroxine 3. Which of the following is a potassium-sparing diuretic? a. Furosemide b. Spironolactone c. Hydrochlorothiazide d. Bumetanide 4. What is the antidote for Warfarin? a. Vitamin D b. Vitamin C c. Vitamin K d. Vitamin B6 1. A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I will clean the site with an alcohol swab before I apply the patch." B. "I will rotate the application sites weekly." C. "I will apply the patch to an area of skin with no hair."D. "I will place the new patch on the site of the old patch. 2.A nurse is teaching a client who has a prescription for a long-term use of oral prednisone for chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects? A. Weight Gain B. Nervousness C. Bradycardia D. Constipation 3. A nurse is caring for a patient who is taking Digoxin. The nurse should instruct the patient to monitor and report which of the following adverse effects? ( select all the apply) A. Fatigue B. Constipation C. Anorexia D. Rash E. Diplopia 4. What is the antidote for Heparin? A. Atropine b. Protamine C. Calcium Carbonate D. Ferrous Sulfate 1. Phenytoin is an antiarrhythmic and anticonvulsant that has an unlabeled use for: A. headaches B. cold remedy C. neurothpathic pain D. antianxiety 2. When taking Digoxin, low levels of what can cause toxicity? A. potassium B. calcium C. sodium D. magnesium 3. What is the category class of Valproate? A. anticoagulant B.antianxiety, benzodiazepines C.anticonvulsant, vascular headache suppressant D.mood stabilizer 4. When taking Nitroglycerine (transdermal), you should have how many hours nitrate free each day? A. 1-2 hours B. 5-10 hours C. 3-4 hours D. 10-12 hours 1. Lithium is used to? A. Lower blood glucose B. slow the heart rate C. stabilize mood D. heal ulcers 2. the antidote for Warfarin is? A. Narcan B. Vitamin K C. Glucagon D. Vitamin B 3. When administering Phenytoin you should monitor? A. behavior B. therapeutic blood levels C. for Steven Johnson syndrome D. all of the above 4. Angiotension II receptor agents medications usually end in? A. sar-tan B. ase C. olol D. pril 1. What is the Therapeutic Effects of Lithium? A.) Prevents/decreases incidence of acute manic episodes B.) Maintenance of blood glucose C.) Control of hyperglycemia in diabetic patients D.) Diminished seizure activity 2. What is the action of Metformin? A.)Decrease intestinal glucose absorption B.) Increase sensitivity to insulin C.) Decrease hepatic glucose production D.) All of the above 3.What is the medication effectiveness of Propranolol? Select all that apply. A.) Decrease in BP B.) Prevention of MI C.) Decrease tremors D.) Decrease in GI pain and irritation 4. What is a common side effect of Albuterol? A.)Paradoxical Bronchospasm B.)Diarrhea C.) Seizures D.) Vision loss 1) What is the therapeutic use of Albuterol? • A) Bronchodilation • B) Anti-coagulant • C) Anti-arrhythmic • D) Proton-pump inhibitor 2) What is an expected outcome for Lithium • A) Reduced risk of myocardial infarction • B) Reduced risk of GI ulcers • C) Decrease in respiratory distress • D) Decreased incidence of acute manic episodes 3) What is the antidote for Heparin? • A) Warfarin • B) Protamine sulfate antidote • C) Insulin • D) Naloxone 4) What medication is a contraindication to Nitroglycerin • A) Hydrochloroquinone • B) Methylprednisolone • C) Phenazopyridine • D) Erectile dysfunction drugs 1. What is the classification of Ondansetron? a. Antihypertensive b. Antiarrthymia c. Antiemetic d. Antiulcer agent Answer: C 2. Which of the following drugs has a therapeutic effect that prevents thromboembolic event? a. Warfarin b. Amlodipine c. Nitroglycerine d. Clopidogrel Answer: A 3) Select all when taking Iron Supplements. a. One hour before or 2 hours after meal b. Full glass of water/ juice c. No caffeine d. Carry identification card saying you are on Iron Supplements Answer: A, B, C 4) What is the expected outcome for Valproate? a. Decreased fever b. Decreased sense of anxiety c. Decreased blood pressure d. Decreased Seizure activity Answer: D 1. Before administering Digoxin, the nurse should complete which task? A. Obtain an ECG B. Count apical Pulse for 1 minute * C. Take temperature D. Obtain I/O [Show Less]
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ATI Pharmacology Proctored Exam Question Bank 2023
• A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and new prescription for epoetin alfa. Whi... [Show More] ch of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? 1) Reduces blood pressure 2) Inhibits clotting of fistula 3) Promotes RBC production 4) Stimulates growth of neutrophils ANS: C • A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? 1) Ibuprofen (NSAIDS) 2) Naproxen (NSAIDS) 3) Aspirin (NSAIDS) 4) Acetaminophen (anlagesics) ANS: D • A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? 1) Insomnia 2) Hypotension 3) Bleeding 4) Constipation ANS: C • A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? 1) Reye's syndrome 2) Visual disturbances 3) Diabetes mellitus 4) Wilm's tumor ANS: A • A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications as contraindication to ceftriaxone? 1) Gentamicin 2) Clindamycin 3) Piperacillin 1 4) Sulfamethoxazole-trimethroprim ANS: C 2 • A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication? 1) Hyperthyroidism 2) Intestinal obstruction 3) Glaucoma 4) Low blood pressure ANS: B • A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? 1) Amantadine 2) Bupropion (aytpical antidepressant) 3) Phenelzine (MAOI) 4) Hydroxyzine (Antihistamine) ANS: A • A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? 1) Hypotension 2) Hyperthermia 3) Hypoglycemia 4) Tachycardia ANS: D • A nurse is providing teaching to a client who has UTI and new prescription for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? 1) If the phenazopyridine upsets my stomach, I can take it with meals. 2) The phenazopyridine will relieve my discomfort, but the cipro will get rid of the infections. 3) I need to drink2 liters of fluid per day while I am taking cipro. 4) I should notify my provider immediately if my urine turns an orange color. ANS: D • A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? 1) Ecchymosis 2) Decreased urine output 3) Increased blood pressure 4) Dizziness ANS: D • A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? 1) Methimazole 2) Somatropin 3) Levothyroxine 4) Propylthiouracil ANS: C • A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50mg po daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? 1) Take the hydrochlorothiazide as needed for edema 2) Check your weight once each week 3) Take the hydrochlorothiazide on an empty stomach 4) Take the hydrochlorothiazide in the morning. ANS: D • A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? 1) Oxytocin 2) Nifedipine 3) Dinoprostone 4) Misoprostol ANS: B • A nurse is providing teaching to a client who has cirrhosis and new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? 1) Increases blood pressure 2) Prevents esophageal bleeding 3) Decreases heart rate 4) Reduce ammonia levels ANS: D • A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication? 1) Hearing examination 2) Glucose tolerance test 3) Electrocardiogram 4) Pulmonary function test ANS: C • A nurse is providing teaching to a client who has gout and new prescription for allopurinol. The nurse should instruct client to discontinue taking the medications for which of the following adverse effects? 1) Nausea 2) Metallic taste 3) Fever 4) Drowsiness ANS: C • A nurse is assessing a client who is receiving IV gentamicin 3 x daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? 1) Hypoglycemia 2) Proteinuria 3) Nasal congestion 4) Visual disturbances ANS: B • A nurse is providing teaching to a newly nurse about caring for a client who has prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following lab tests? 1) Platelet count 2) Electrolyte levels 3) Thyroid functions 4) Liver function ANS: D • A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions? 1) Raynaud's phenomenon 2) Migraine headaches 3) Ulcerative colitis 4) Anemia ANS: B • A nurse is reviewing the lab values for a client who is receiving a continuous IV heparin infusion and has an aPTT (TR-60-80 sec) of 90 seconds. Which of the following actions should the nurse prepare to take? 1) Administer Vit K 2) Reduce the infusion rate 3) Give the client a low dose aspirin 4) Request an INR ANS: B • A nurse is providing teaching to a client who had rheumatoid arthritis and a prescription for long term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? 1) Stress fractures 2) Orthostatic hypotension 3) Gingival ulcerations 4) Weight loss ANS: A • A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? 1) Antiestrogenic 2) Antimicrobial 3) Androgenic 4) Anti-inflammatory ANS: A • A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects? 1) Hyperkalemia 2) Hypertension 3) Constipation 4) Nephrotoxicity ANS: D • A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the following should the nurse take? 1) Administer the medication into the client’s abdomen 2) Inject the medication into a muscle 3) Massage the site after administering the medication 4) Use a 22 gauge needle to administer the medication ANS: A • A nurse is reviewing the lab results for a client who has prescription for filgastrim. The nurse should recognize that an increase in which of the following values indicates a therapeutic effect of this medication? 1) Erythrocyte count 2) Neutrophil count 3) Lymphocyte count 4) Thrombocyte count 9 • A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? 1) Jaundice 2) Constipation 3) Oral candidiasis 4) Sedation ANS: A • A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following lab values should the nurse plan to monitor? Select all that apply. 1) BUN 2) PTT 3) Aspartate aminotransferase (AST) 4) Urinalysis 5) Alanine aminotransferase (ALT) ANS: B, C, E • A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? 1) Allergic response 2) Superinfection 3) Renal toxicity 4) Hepatotoxicity ANS: B • A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? 1) Thrombophlebitis 2) Hyperactive reflexes 3) Muscle weakness 4) Hypoglycemia ANS: C • A nurse on a medical unit is preparing to administer alendronate 40mg po for an older adult client who has Paget’s disease of the bone. Which of the following actions should be the nurse’s priority? 1) Administer the medication to the client’s before breakfast in the morning. 2) Ambulate the client to a chair prior to administering the medication. 3) Give the medication to the client with water rather than milk. 11 4) Teach the client how to take the medication at home. ANS: B • A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary TB. The client reports his urine is an orange color. Which of the following statements should the nurse make? 1) Stop taking isoniazid for 3 days and the discoloration should go away. 2) Rifampin can turn body fluids orange. 3) I'll make an appointment for you to see the provider this afternoon. 4) Isoniazid can cause bladder distention. ANS: B • A nurse is caring for a client who had a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication? 1) Ecchymosis 2) Jaundice 3) Hypotension 4) Hypokalemia ANS: C • A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following information should the nurse include in the teaching? 1) Respiratory depression can occur 7 min after the morphine is administered. 2) The morphine will peak in 10 min 3) Withhold the morphine if the client has a respiratory rate of less than 16/min 4) Administer the morphine over 2 min ANS: A • A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching? 1) I will give my child a dose as soon as wheezing starts. 2) My child should rinse out his mouth after using the inhaler. 3) My child should exhale completely before placing the inhaler in his mouth. 4) If my child has difficulty breathing in the dose, a spacer can be used. ANS: A • A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. Identify the sequence of instructions that the nurse should tell the client to use if he experiences chest pain. Place them in order of performance. 1. Stop activity 2. Place a tablet under the tongue 3. Wait 5 min 4. Call 911 if the pain is not relieved. • A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine (Calcium blocker). The client states she is concerned because her father takes nifedipine for his angina pectoris. The nurse should explain to the client that nifedipine works for clients who are pregnant by which of the following mechanism? 1) It decreases the incidence of bacterial vaginosis, thus preventing uterine contractions. 2) It inhibits uterine contractions by blocking entry of calcium into uterine cells. 3) It decreases the activity within the CNS, which regulates smooth muscle. 4) It stimulates beta2 receptors in the uterus, which results in decreased frequency of contractions. ANS: B • A nurse is preparing to administer oxytocin to a client who is at 41 weeks of gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take? 1) Place the oxytocin from a pre-filled syringe into the posterior fornix of the vagina every 10 min until effective labor occurs. 2) Check the client’s blood pressure and pulse every 15 min while induction of labor is occurring. 3) Stop the oxytocin for contractions that continue longer than 30 seconds 4) Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min. ANS: D • A home health nurse is visiting an older adult client who has Alzheimer’s disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 x daily, to the client for restlessness and anxiety during the past few days. For which of the following effects should the nurse assess the client? 1) Low-grade fever 2) Sedation 3) Diuresis 4) Tonic-clonic seizures ANS: B • A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching? 1) I should take naproxen if I have a headache because aspirin can cause lithium toxicity 2) I can develop lithium toxicity if I eat foods with lots of sodium 3) I can develop lithium toxicity if I experience vomiting or diarrhea. 4) I might need to take a daily diuretic along with my lithium to prevent lithium toxicity. ANS: C • A nurse is providing teaching to a client who has heart failure and is taking spironolactone. Which of the following statements by the client indicates an understanding of the teaching? 1) I will increase my intake of citrus fruits, bananas, and potatoes. 2) I will use salt substitutes on my food 3) I will drink as much water as I can while taking this medication. 4) I will watch for increased breast tissue growth while taking this medication. ANS: D • A nurse is assessing a client who takes oral theophylline for relief of chronic bronchitis. The nurse should recognize that which of the following findings indicates toxicity to theophylline? 1) Constipation 2) Tremors 3) Fatigue 4) Bradycardia ANS: B [Show Less]
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