NURS 216 Pharm ATI Study Guide 2020 –
Washington Adventist University
Pharm Q5- Hematology
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1. A nurse is assessing a client who is taking amiodarone to treat atrial fibrillation.
Which of the following findings is a manifestation of amiodarone toxicity?
Light yellow urine
Report of tinnitus
X Productive cough
Blue-gray skin dicoloration
2. A nurse is caring for a client who received IV verapamil to treat supraventricular
tachycardia (SVT). The client’s pulse rate is not 98/min and his blood pressure is
74/44 mm Hg. The nurse should anticipate a prescription for which of the
follwoing IV medications?
X Calcium gluconate
Sodium bicarbonate
Potassium chloride
Magnesium sulfate
3. A nurse is assessing a client who is taking digoxin to treat heart failure. Which of
the following findings is a manifestation of digoxin toxicity?Bruising
Report of metallic taste
Muscle pain
X Report of anorexia
4. A nurse is assessing a client who has take procainamide to treat dysrhythmias for
the last 12 months. The nurse should assess the client for which of the following
adverse effects of this medication? (Select all that apply)
Hypertension
X Widened QRS complex
Narrowed QT interval
X Easy bruising
X Swollen joints
5. A nurse is preparing to administer propranolol to a client who has a dysrhythmia.
Which of the following actions should the nurse plan to take
hold propranolol for an apical pulse greater than 100/min
administer propranolol to increase the client’s blood pressure
X assist the client when she sits up or stands after taking this
medication
check for hypokalemia frequently due to the risk for propranolol toxicity
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6. A nurse is planning to administer subcutaneous enoxaparin 40 mg using a
prefilled syringe of enoxaparin 40 mg/0.4 mL to an adult client following hip
arthroplasty. Which of the following actions should the nurse plant to take?Expel air bubble from the prefilled syringe before injecting
X Insert the needle completely into the client’s tissue
Administer the injection in the client’s thigh
Aspirate carefully after inserting the needle into the client’s skin
7. A nurse is caring for a hospitalized client who is receiving IV heparin for a deepvein thrombosis. The client begins vomiting blood. After the heparin has been
stopped, which of the following medications should the nurse prepare to
administer?
Vitamin K1
Atropine
X Protamine
Calcium gluconate
8. A nurse is planning to administer IV alteplase to a client who is demonstrating
manifestations of a massive pulmonary embolism. Which of the following
interventions should the nurse plan to take?
Administer IM enoxaparin along with the alteplase dose
X Hold direct pressure on puncture sites for up to 30min
Administer aminocaproic acid IV prior to alteplase infusion
Prepare to administer alteplase within 8hr of manifestation onset
9. A nurse is monitoring a client who takes aspirin 81 mg PO daily. The nurse
should identify which of the following manifestations as adverse effects of daily
aspirin therapy? (Select all that apply)
Hypertension
X Coffee-ground emesisX Tinnitus
Paresthesias of the extremities
X Nausea
10. A nurse is caring for a client who has atrial fibrillation and a new prescription for
dabigatran to prevent development of thrombosis. Which of the following
medications is prescribed concurrently to treat an adverse effect of dabigatran
Vitamin K1
Protamine
X Omeprazole
Probenecid
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11. A nurse is caring for a client who is receiving daily doses of oprelvekin. Which of
the following laboratory values should the nurse monitor to determine
effectiveness of this medication?
Hemoglobin
Absolute neutrophil count
X Platelet count
Total white blood count
12. A nurse is preparing to administer fillgratism for the first time to a client who has
just undergone a bone marrow transplant. Which of the following interventions is
appropriate?
Administer IM in a large muscle mass to prevent injury
Ensure that the medication is refrigerated until just prior to administrationShake vial gently to mix well before withdrawing dose
X Discard vial after removing one dose of the medication
13. A nurse is monitoring a client who is receiving epoetin alfa for adverse effects.
The nurse should identify which of the following findings as an adverse effect of
this medication? (Select all that apply)
Leukocytosis
X Hypertension
Edema
Blurred vision
X Headache
14. A nurse is assessing a client who has chronic neutropenia and who has been
receiving filgratim. Which of the following actions should the nurse take to assess
for an adverse effect of filgrastim?
X Asses for bone pain
Assess for right lower quadrant pain
Auscultate for crackles in the bases of the lungs
Auscultate the chest to listen for a heart murmur
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15. A nurse is preparing to administer a transfusion of 300mL of pooled platelets for
a client who has severe thrombocytopenia. The nurse should plan to administer
the transfusion over which of the following time frames?
X Within 30min/unit
Within 60min/unitWithin 2hr/unit
Within 4hr/unit
16. A nurse is transfusing a unit of packed red blood cells (PRBCs) for a client who
has an anemia due to chemotherapy. The client reports a sudden headache and
chills. The client’s temperature is 2 degrees F higher than her baseline. In
addition to notifying the provider, which of the following actions should the
nurse take? (Select all that apply) [Show Less]