ATI PHARMACOLOGY CMS PRACTICE EXAM FORM A| 100% CORRECT QUESTIONS AND VERIFIED ANSWERS with RATIONALES| 2023/ 2024 LATEST UPDATE!!
1. A nurse is
... [Show More] collecting data from a female client who has been taking propylthiouracil (PTU) for 2 months to treat Graves' disease. Which of the following findings should the nurse recognize as an indication that the medication is effective?
a. Weight loss
b. Pulse 82/min
c. Respiratory rate 22/min
d. Decreased menstrual flow:
~ Answer: Pulse 82/min
Rationale: Tachycardia is a manifestation of hyperthyroidism. The nurse should identify that a pulse of 82/min is within the expected reference range of 60100/min, indicating that the medication is effective.
2. a nurse is reinforcing teaching w/ a client who has a new prescription for regular insulin. Which of the following statements by the client indicates an understanding of the teaching?
a. "I should eat right before I give myself an insulin injection."
b. "I should shake the vial gently prior to drawing up the insulin."
c. "I should ensure that the insulin is clear prior to drawing it up."
d. "I should inject the insulin deep into a muscle.":
~ Answer: "I should ensure that the insulin is clear prior to drawing it up."
Rationale: Regular insulin is clear in appearance. Clients should discard the vial and use the new vial if the insulin appears cloudy.
3. A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should identify that which of the following findings is a contraindication to receiving celecoxib?
a. Hyperglycemia
b. Allergy to penicillin
c. History of myocardial infarction
d. Peptic ulcer disease:
~ Answer: History of myocardial infarction
Rationale: Celecoxib increased the risk of myocardial infarction caused by increased vaso constriction and unimpeded platelet aggregation. It is contraindicated for a client who has a history of myocardial infarction or heart disease.
4. A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which of the following actions should the nurse take to counteract the adverse effects of this medication?
a. Suggest that the client apply antiperspirant deodorant more frequently.
b. Inform the client to apply sunblock before going outside.
c. Give the client a list of OTC antidiarrheal medications.
d. Recommend that the client take the medication on an empty stomach.:
~ Answer: Inform the client to apply sunblock before going outside.
Rationale: The nurse should inform the client to apply sunblock, which will counteract the adverse effects of photosensitivity. Chlorpromazine increases skin's sensitivity to ultraviolet light causing temporary pigmentation changes and increases the risk of sunburn.
5. A nurse in contributing to the plan of care for a client who has schizo phrenia and a new prescription for clozapine. The nurse should include in the plan to monitor the client for which of the following adverse effects of this medication? [Show Less]