ATI Pharmacology EXAM 2022
1. A nurse is caring for a client who has a new prescription for
ergotamine. The nurse should recognize that ergotamine
... [Show More] is
administered to treat which of the following conditions?
o Migraine headaches
▪ Ergotamine prevents or stops migraine headache by
blocking alpha-adrenergic receptors in the cranial
peripheral vascular smooth muscle, which causes
vasoconstriction of dilated cerebral blood vessels.
2. A nurse is caring for a client who has a new prescription for
amphotericin B. The nurse should plan to monitor the client for which
of the following adverse effects?
o Nephrotoxicity
▪ Amphotericin B is an antifungal medication used to treat
severe fungal infections; however, it can cause
nephrotoxicity. The nurse should monitor the client’s
creatinine every 3-4 days and increase fluid intake. The
dosage of amphotericin B should be reduced if the client’s
creatinine is 3.5 mg/dL or greater.
3. A nurse is preparing to administer heparin 8,000 units subcutaneously
every 8 hours. Available is heparin 10,000 units/1 mL. How many mL
should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing
zero)
o 0.8 mL
▪ 1mL / 10,000 units x 8,000 units / 1
4. A nurse is providing teaching to a client who has chronic kidney failure
with an AV fistula for hemodialysis and a new prescription for epoetin
alfa. Which of the following therapeutic effects of epoetin alfa should
the nurse include in the teaching?
o Promotes RBC production
▪ Epoetin Alfa stimulates erythropoiesis in the bone marrow
to increase RBC production and reduce anemia. Anemia is
common in clients who have chronic kidney failure, since
erythropoietin is produced by the kidney.
5. A nurse is caring for a client who has a new prescription for enalapril.
The nurse should monitor the client for which of the following adverse
effects of this medication?
o Hypotension
▪ Enalapril, an angiotensin-converting enzyme (ACE)
inhibitor, can cause hypotension and postural hypotension,
especially during the first 3 hrs. following the initial
dosage.
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6. A nurse is caring for a client who has a prescription for clopidogrel. The
nurse should monitor the client for which of the following adverse
effects?
o Bleeding
▪ Clopidogrel is an antithrombotic medication that inhibits
platelet aggregation. It is used to prevent stenosis of
coronary stents, MI’s, and strokes. The nurse should
monitor for coffee ground emesis, black tarry stools,
ecchymosis or any indication of bleeding.
7. A nurse is caring for a client who has a new diagnosis of oral
candidiasis after taking tetracycline for 7 days. The nurse should
recognize that candidiasis is a manifestation of which of the following
adverse effects?
o Superinfection [Show Less]