NGN Pharmacology ATI 2023-2024 EXAM LATEST A+ GRADE
1.A nurse is assessing a client who is receiving chloramphenicol (Chloromycetin). Which of the
... [Show More] following findings is an adverse effect of this medication?
o Ecchymosis
oOtotoxicity
oHypertension
oAnxiety
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.
oChange the prescribed medication dosages to reconcile the discrepancy
oContact the pharmacist regarding the dosage discrepancies
oAsk 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?
oFluid intake
oSkin integrity
o Respiratory rate
oPulse rate
5.A nurse is caring for a client who has acute angina and has a prescription for nitroglycerin. Which of the following is an appropriate intervention for the nurse totake when administering this medication?
oMassage the nitroglycerin ointment completely into the skin.
oReplace the nitroglycerin transdermal patch every 4 hours.
oAdminister a sustained nitroglycerin tablet orally.
o Administer a nitroglycerin tablet sublingually every 5 minutes.
6.A nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid arthritis. The nurse should watch the patient for which of the following adverse effects? (Select all that apply.)
oBradycardia
o Jaundice
oPolyuria
o Urtipenia
o Fever
7.A nurse is providing teaching to a client who was recently diagnosed as HIV positive. The client is beginning medication therapy with zidovudine (Retrovir). Which of the following statements should the nurse include in the teaching. (Select all that apply.)
o Must be taken with other retroviral medicines.
o Has few adverse effects
oCures an HIV infection
oPrevents you from transmitting the HIV infection
oIncreases CD4+ cell count
8.A nurse is assessing a school age client who is experiencing seizure activity and is prescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receiving a continuous infusion of which of the following IV:
oLactated Ringers solution
o0.9% Sodium chloride with 100 units of regular insulin
o0.9% sodium chloride
o0.9% Sodium chloride with 20 mEq of potassium chloride
9.A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heart failure. Which of the following indicates an expected finding?
oActivity tolerance
o Orthostatic hypotension
oLoss of strength
oIncrease in blood pressure
10.A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of the following therapeutic effects should the nurse monitor?
oIncreased urine output
oIncreased energy
oDecreased anxiety
o Decreased spacity
11.Clinical findings of a client who has a prescription for lithium carbonate (Lithobid). For which reasons should the nurse withhold the medication and notify the provider?
oLithium level 1.0 mEq/L
oPotassium at 3.7 mEq/L
oSodium at 143 mEq/L
oLithium level 2.5 mEq/L
12.The nurse is caring for a client who has tuberculosis and is being treated with combination medication therapy. To test the effectiveness of the treatment, the nurse should periodically monitor which of the following laboratory results.
oTT
o ESD rate
oSputum culture
oINR
13.A nurse is caring for a client who is taking amoxicillin (Amoxil) and is experiencing adverse effects. Which of the following instructions should the nurse give to this client? o “Stand up slowly after taking this medication.”
o “Monitor for increased urine output.”
o“Take this medication with a snack.”
o“Administer the medication at bedtime.”
14.A nurse is reviewing the medication administration record for a client who has
metastatic cancer and a fentanyl (Duragesic) transdermal patch for pain. The client reports a pain level of 10 on a scale of 0 to 10. Which of the following medications should the nurse anticipate administering?
o Hydromorphone (Dilaudid)
oButorphanol (Stadol)
oAlprazolam (Xanax)
oCarbenezepine (Tegretol) [Show Less]