ATI PHARMACOLOGY PROCTORED EXAM
1. A nurse is providing teaching to a client who has prescription for
trimethoprim/sulfamethoxazole. Which of the
... [Show More] following instructionsshould the nurse
include in the teaching?
a. Take the medication with food
b. Expect a fine, red rash as a transient effect (not normal with any drug)
c. Drink 8-10 glasses of water daily (decrease chance of kidney damage)
d. Store the medication in the refrigerator (only suspensions go in the fridge)
2. A nurse at an urgent care clinic is collecting a history from a female client who has a UTI.
The nurse anticipated a prescription for ciprofloxacin. The nurse should identify that
which of the following client statements indicates a contraindication for administering
this medication? Cipro=C. Diff
a. “I have tendonitis, so I haven’t been able to exercise” (increase risk for tendon
rupture)
b. “I take a stool softener for chronic constipation” (Cipro= C. Diff)
c. “I take medication for my thyroid” (most thyroids don’t interact with antibiotics)
d. “I am allergic to sulfa” (not a sulfa)
3. A nurse is teaching a client who has an URI about guaifenesin. Which of the following
statement should the nurse include in the teaching?
a. “constipation is an expected adverse effect of this medication” (not
anticholinergic drug)
b. “increase your fluid intake to at least 2 liters per day while taking guaifenesin. An
increase in fluid intake facilitates the removal of secretions and helps to create a
more productive cough.”
c. “store your medication in the refrigerator” (not usually in fridge)
d. “You can expect to experience insomnia while taking this medication” (Normally
drowsiness happens)
4. A nurse is reviewing the medical record of a client who has schizophrenia and a
prescription for clozapine. Which of the following lab tests should the nurse review
before administering the meds? –ine=psych meds
a. Troponin (cardiac)
b. Total cholesterol (causes hyperlipidemia)
c. Creatinine (not metabolized in kidneys)
d. TSH (doesn’t affect thyroid)
5. A nurse is developing a teaching plan for a client who has a new prescription for
simvastatin. Which of the following instruction should the nurse include in the teaching
plan? SELECT ALL THAT APPLY.
a. Report muscle pain to the provider (rhabdomyolosis)
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b. Avoid taking the medication with grapefruit juice (grapefruit is almost always
right-increase muscle injury risk)
c. Take the medication in the early morning (take at night because cholesterol is
created at night)
d. Expect a flushing of the skin as a reaction to the medicine (goes with niacin)
e. Expect therapy with this medication to be lifelong (cholesterol levels will increase
without)
6. A nurse is caring for a client who has heart failure and is receiving an IV infusion of
dopamine. Which of the following findings indicatesthat the medication is effective?
(What do we want to do with HF?)
a. Decreased blood pressure
b. Increased heart rate
c. Increased Cardiac Output (goal for HF tx)
d. Decreased serum potassium
7. A nurse is caring for a client who is taking acetazolamide for chronic open-angle
glaucoma. For which of the following adverse effects should the nurse instruct the client
to monitor and report? Diuretic, causes wet sx, carb [Show Less]