ATI PHARMACOLOGY CMS PROCTORED PRACTICE EXAM (170 QUESTIONS AND 100% CORRECT VERIFIED ANSWERS| 2023/ 2024 LATEST UPDATE!!!
1. A nurse is caring for a
... [Show More] client experiencing IV extravasation. The facility requires the administration of an antidote for the prescribed IV solution. After stopping the IV infusion, which of the following actions should the nurse take first?
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity
Answer:
B. Withdraw the solution from the IV access
2. A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take?
A. Use a disposable razor to remove excess hair on the extremity
B. Select the back of the client's hand to insert the IV catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above their heart
Answer:
C. Distend the veins by using a blood pressure cuff
3. A nurse assessing the IV catheter insertion site for a client receiving a non vesicant solution and notes swelling at the site with decreased skin temperature. Which of the following actions should the nurse take? (select all that apply)
A. Stop the infusion
B. Start a new IV access distal to this site
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
E. Obtain a specimen for culture at the insertion site
Answer: A. Stop the infusion
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
4. A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? SELECT ALL THAT APPLY.
A. A client at 8 weeks of gestation who asks for an influenza immunization.
B. A client who takes prednisone and has a possible fungal infection.
C. A client who has chronic liver disease and reports he is taking hy- drocodone.
D. A client who has peptic ulcer disease and takes sucralfate and tells the nurse she has started taking over-the-counter aluminum hydroxide.
E. A client who has a prosthetic heart valve who takes warfarin and reports a suspected pregnancy.
Answer:
B. A client who takes prednisone and has a possible fungal infection.
C. A client who has chronic liver disease and reports he is taking hydrocodone. E. A client who has a prosthetic heart valve who takes warfarin and reports a suspected pregnancy.
5. A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states she took penicillin 3 years ago and developed a rash. Which of the following is an appropriate nursing action?
A. Administer the prescribed dose.
B. Withhold the medication.
C. Ask the provider to change the prescription to an oral form.
D. Administer an oral antihistamine at the same time.
Answer:
B. Withhold the medica- tion
6. A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following is an appropriate statement by the nurse?
A. "Be sure to limit your potassium intake while taking the medication. "
B. "You should check your blood pressure every 8 hr while taking this medication. "
C. "Your medication dosage will be increased if you develop tachycardia. "
D. "Change positions slowly when you move from sitting to standing. "
Answer: D. "Change positions slowly when you move from sitting to standing. "
7. A nurse is reviewing a client's health record and notes that the client expe- riences permanent extrapyramidal effects caused by a previous medication. The nurse recognizes that the medication affected the client's
A. cardiovascular system.
B. immune system.
C. central nervous system.
D. gastrointestinal system.
Answer:
C. central nervous system.
8. A nurse is caring for a client who is taking oral oxycodone. The client states he is also taking ibuprofen in three recommended doses daily. The in- teraction between these two medications will cause which of the following?
A. A decrease in serum levels of ibuprofen, possibly leading to a need for increased doses of the medication.
B. A decrease in serum levels of oxycodone, possibly leading to a need for increased doses of this medication.
C. An increase in the expected therapeutic effect of both medications.
D. An increase in expected adverse effects for both medications.
Answer:
C. An increase in the expected therapeutic effect of both medications.
9. A nurse is preparing to administer meds to a 4-month-old infant. Which of the following pharmacokinetic principles should the nurse consider when administering? (select all that apply)
A) Infants have a more rapid gastric emptying time
B) Infants have immature liver function
C) Infants' blood-brain barrier is poorly developed
D) Infants have an increased ability to absorb topical medications
E) Infants have an increased number of protein binding sites
Answer: B) Infants have immature liver function
C) Infants' blood-brain barrier is poorly developed
D) Infants have an increased ability to absorb topical medications
10. A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to the client? [Show Less]