ATI RN PHARMACOLOGY PROCTORED EXAM
1. A nurse is assessing a client who is receiving chloramphenicol (Chloromycetin). Which of the following findings
... [Show More] is an adverse effect of this medication? (adverse affect is thrombocytopenia) o Ecchy
moso Ototoxic ity
o Hyperte nsion o Anxiety
2. A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chloride IV over 8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/mL.
How many gtt/min of IV fluid should the client receive? (Round your answer to the nearest whole number).
31 gtt/min
3. A nurse is admitting a client to a long-term care facility. While reconciling the medication prescribed at home with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which action should the nurse take?
o Clarify the medication dosages with the provider.
o Change the prescribed medication dosages to reconcile the discrepancy o Contact the pharmacist regarding the dosage discrepancies
o Ask a family member to verify the medication dosages
4. A nurse is caring for a client who is receiving a fentanyl transdermal system (Duragesic). What is important to document in the client’s record?
o Fluid intake o Skin integrity
o Respirator y rate o Pulse rate
A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions 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.
A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions 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 ciprofloxacin will get rid of the infection."
3. "I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin."
4. "I should notify my provider immediately if my urine turns an orange color."
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. Wilms' tumor
A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV to infuse over 8 hr. The drop factor or the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how may gtt/min? (Round the answer to the nearest whole number).
1 hr/60 min = 8 hr/X min X = 480 min
1,000 mL/480 min x 10 gtt/mL = X gtt/min X = 20.833 21 gtt/ min
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
A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2 equal doses daily to a toddler who weighs 22 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number)
2.2 lb/1 kg = 22 lb/X kg X = 10 kg
4 mg x 10 kg = 40 mg/day
20mg
A nurse is assessing a client who is receiving IV gentamicin three times 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
A nurse is providing teaching to a client who has cirrhosis and a 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. Reduces ammonia levels
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
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 is a contraindication to ceftriaxone?
1. Gentamicin
2. Clindamycin
3. Piperacillin
4. Sulfamethoxazole-trimethoprim
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
3, Phenelzine 4, Hydroxyzine
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? 4
1, ecchymosis 2, decrease urine output.
3, increase blood pressure. 4, dizziness
A nurse on a medical unit is preparing to administer alendronate 40 mg 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 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.
4. Teach the client how to take the medication at home.
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? 2
1. Raynaud's phenomenon
2. Migraine headaches
3. Ulcerative colitis
4. Anemia
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
2. Naproxen
3. Aspirin
4. Acetaminophen
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."
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
A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply)
1. PTT
2. Asparate aminotransferase (AST)
3. Alanine aminotransferase (ALT)
A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?
1. "Take 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."
A nurse is preparing to administer amoxicillin 250 mg liquid suspension PO every 8 hr to an older adult client. The amount available is amoxicillin 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number)
50 mg/1 mL = 250 mg/X mL 250/ 50 = 5
X = 5 mL
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects?
1. Nausea
2. Metallic taste
3. Fever
4. Drowsiness
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 [Show Less]