ATI Pharmacology Proctored Exam Test bank(1) over 100+ updated 2022

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ATI Pharmacology Proctored Exam Test bank(1) over 100+ updated 2022-A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many... times per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.) A. Increased renal secretion B. Increased medication-metabolizing enzymes C. Liver failure D. Peripheral vascular disease E. Concurrent use of medication the same pathway metabolizes A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) A. Have the client lie on her side. B. Ask the client to look up at the ceiling. C. Tell the client to blink when the drops enter her eye. D. Drop the medication into the center of the client's conjunctival sac. E. Instruct the client to close her eye gently after instillation A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I will clean the site with an alcohol swab before I apply the patch." B. "I will rotate the application sites weekly." C. "I will apply the patch to an area of skin with no hair." D. "I will place the new patch on the site of the old patch. A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take? A. Obtain a blood specimen immediately prior to administering the next dose of medication. B. Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen. C. Ask the client to provide a urine specimen after the next dose of medication. D. Administer the medication,and obtain a blood specimen 30 min late A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (Select all that apply.) A. Maintain skill competency. B. Determine the dosage. C. Monitor for adverse effects. D. Safeguard medications. E. Identify the client's diagnosis A nurse reviewing a client's health record notes a new prescription for Lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription? A. Single B. Stat C. Routine D. Standing A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify which of the following parts of the prescription with the provider? A. Name B. Dosage C. Route D. Frequency A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (Select all that apply.) A. Use of herbal teas B. Daily fluid intake C. Current health status D. Previous surgical history E. Food allergies A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands the process? A. "A second nurse enters the prescription into the client's medical record." B. "Another nurse should listen to the phone call." C. "The provider can clarify the prescription when he signs the health record." D. "I should omit the 'read back' if this is a one time prescription A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero. A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus. The amount available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride (0.9% NaCl) to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero. A nurse is preparing to administer furosemide 80 mg PO daily. The amount available is furosemide oral solution 10 mg/1 mL. how many mL should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero.) A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The amount available is haloperidol 1 mg/tablet. how many tablets should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero. A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to divide equally every 12 hr to a preschooler who weighs 44 lb. The amount available is amoxicillin suspension 250 mg/5 mL. how many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Do not use a trailing zero.) A nurse is preparing to administer heparin 15,000 units subcutaneously every 12 hr. The amount available is heparin injection 20,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Do not use a trailing zero. A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The amount available is acetaminophen liquid 500 mg/5 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. A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero. A nurse is assessing a client's IV infusion site. Which of the following findings should the nurse identify as an indication of phlebitis? (Select all that apply.) A. Pallor B. Dampness C. Erythema D. Coolness E. Pain A nurse manager is reviewing the facility's policies for IV therapy with the members of his team. The nurse manager should remind the team that which of the following techniques helps minimize the risk of catheter embolism? A. Performing hand hygiene before and after IV insertion B. Rotating IV sites at least every 72 hr C. Minimizing tourniquet time D. Avoiding reinserting the needle into an IV catheter A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take? A. Use a disposable razor to remove excess hair on the extremity. B. Select the back of the client's hand to insert the IV catheter. C. Distend the veins by using a blood pressure cuff. D. Direct the client to raise his arm above his heart A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of the following actions should the nurse take? (Select all that apply.) A. Stop the infusion. B. Apply alcohol to the insertion site. C. Apply warm compresses to the insertion site D. Elevate the client's arm. E. Obtain a specimen for culture at the insertion site A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply.) A. A client at 8 weeks of gestation who asks for an Influenza immunization B. A client who takes Prednisone and has a possible Fungal infection C. A client who has chronic liver disease and is taking Hydrocodone D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has started taking OTC Aluminum Hydroxide E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected pregnancy A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states she took penicillin 3 years ago and developed a rash. Which of the following actions should the nurse take? A. Administer the prescribed dose. B. Withhold the medication. C. Ask the provider to change the prescription to an oral form. D.Administer an oral antihistamine at the same time A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse give? A."Be sure to limit your potassium intake while taking the medication." B."You should check your blood pressure every 8 hours while taking this medication." C."Your medication dosage will be increased if you develop tachycardia." D."Change positions slowly when you move from sitting to standing." A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client? A. Cardiovascular B. Immune C. Central nervous D. Gastrointestina A nurse is preparing to administer medications to a 4 month old infant. Which of the following pharmacokinetic principles should the nurse consider when administering medications to this client? (Select all that apply.) A. Infants have a more rapid gastric emptying time. B. Infants have immature liver function. C. Infants' blood brain barrier is poorly developed. D. Infants have an increased ability to absorb topical medications. E. Infants have an increased number of protein binding sites. A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to this client? A. Varicella vaccine B. Rubella vaccine C. Inactivated influenza vaccine D. Measles vaccine A nurse on a medical surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness? A. Reduced cardiac function B. First pass effect C. Reduced hepatic function D. Increased gastric motility A nurse working in an emergency department is caring for a client who has Benzodiazepine toxicity due to an overdose. Which of the following actions is the nurse's priority? A. Administer flumazenil. B. Identify the client's level of orientation. C. Infuse IV fluids. D. Prepare the client for gastric lavage A nurse is teaching a client who has a new prescription for Escitalopram for treatment of generalized Anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? A. "I should take the medication on an empty stomach." B. "I will follow a low sodium diet while taking this medication." C. "I need to discontinue this medication slowly." D. "I should not crush this medication before swallowing A nurse is providing teaching to a client who has a new prescription for Buspirone to treat Anxiety. Which of the following information should the nurse include? A. "Take this medication on an empty stomach" B. "Expect optimal therapeutic effects within 24 hr." C. "Take this medication when needed for anxiety" D. "This medication has a low risk for dependency A nurse is teaching a client who has OCD and has a new prescription for Paroxetine. Which of the following instructions should the nurse include? A. "It can take several weeks before you feel like the medication is helping." B. "Take the medication just before bedtime to promote sleep." C. "You should take the medication when needed for obsessive urges." D. "Monitor for weight gain while taking this medication A nurse is caring for a client who takes Paroxetine to treat PTSD and reports that he grinds his teeth during the night. The nurse should identify which of the following interventions to manage Bruxism? (Select all that apply.) A. Concurrent administration of buspirone B. Administration of adifferent SSRI C. Use of a mouth guard D. Changing to a different class of antidepressant medication E. Increasing the dose of paroxetine A nurse is caring for a client who has a new prescription for Phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication? A. Orthostatic hypotension B. Hearing loss C. Gastrointestinal bleeding D. Weight loss A nurse is providing teaching to a client who has a new prescription for Amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching? (Select all that apply.) A. Expect therapeutic effects in 24 to 48 hr. B. Discontinue the medication after a week of improved mood. C. Change positions slowly to minimize dizziness. D. Decrease dietary fiber intake to control diarrhea. E. Chew sugarless gum to prevent dry mouth A nurse is providing discharge teaching to a client who has a new prescription for Fluoxetine for PTSD. Which of the following statements should the nurse include in the teaching? A. "You may have a decreased desire for intimacy while taking this medication." B. "You should take this medication at bedtime to help promote sleep." C. "You will have fewer urinary adverse effects if you urinate just before taking this medication." D. "You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication A nurse is caring for a client who has Depression and a new prescription for Venlafaxine. For which of the following adverse effects should the nurse monitor this client? (Select all that apply) A. Cough B. Dizziness C. Decreased libido D. Alopecia E. hypotension A nurse is caring for a client who has been taking Sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing Serotonin syndrome? A.Bruising B.Fever C.Abdominal pain D.Rash A nurse is reviewing laboratory findings and notes that a client's plasma Lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse? A. Perform immediate gastric lavage. B. Prepare the client for hemodialysis. C. Administer an additional oral dose of lithium. D. Request a stat repeat of the laboratory test A nurse is caring for a client who has a new prescription for Lithium Carbonate. When teaching the client about ways to prevent Lithium toxicity, the nurse should advise the client to do which of the following? A. Avoid the use of acetaminophen for headaches. B. Restrict intake of foods rich in sodium. C. Decrease fluid intake to less than 1,500 mL daily D. Limit aerobic activity in hot weather A nurse is assessing a client who takes Lithium Carbonate for the treatment of Bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication? A. Severe hypertension B. Coarse tremors C. Constipation D. Muscle spasm A nurse is caring for a client who has a new prescription for Valproic Acid. The nurse should instruct the client that while taking this medication he will need to have which of the following laboratory tests completed periodically? (Select all that apply.) A. Thrombocyte count B. Hematocrit C. Amylase D. Liver function tests E. Potassium A nurse is preparing a teaching plan for a female client who has Bipolar disorder and a new prescription for Carbamazepine. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. "This medication can safely be taken during pregnancy." B. "Eliminate grapefruit juice from your diet." C. "You will need to have a complete blood count and carbamazepine levels drawn periodically." D. "Notify your provider if you develop a rash." E. "Avoid driving for the first few days after starting this medication. A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of Fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? A. Take the medication in the morning to prevent insomnia. B. Chew sugarless gum to moisten the mouth. C. Use cooling measures to decrease fever. D. Take an antacid to relieve nausea A nurse is assessing a male client who recently began taking Haloperidol. Which of the following findings is the highest priority to report to the provider? A. Shuffling gait B. Neck spasms C. Drowsiness D. Impotence A nurse is providing discharge teaching to a client who has a new prescription for Clozapine. Which of the following statements should the nurse include in the teaching? A. "You should have a high carbohydrate snack between meals and at bedtime." B. "You are likely to develop hand tremors if you take this medication for a long period of time." C. "You may experience temporary numbness of your mouth after each dose." D."You should have your white blood cell count monitored every week. A nurse is providing teaching for a male client who has Schizophrenia and is taking Risperidone. Which of the following instructions should the nurse include in the teaching? A. "Add extra snacks to your diet to prevent weight loss." B. "Notify the provider if you develop breast enlargement." C. "You may begin to have mild seizures while taking this medication." D." This medication is likely to increase your libido A nurse is preparing to perform a follow up assessment on a client who takes Chlorpromazine for the treatment of Schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? (Select all that apply.) A. Disorganized speech B. Bizarre behavior C. Impaired social interactions D. Hallucinations E. Decreased motivation A nurse is teaching the parents of a child who has a new prescription for Desipramine. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider? A. Constipation B. Suicidal thoughts C. Photophobia D. Dry mouth A nurse is teaching an adolescent client who has a new prescription for Clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of his medication? A. Wear sunglasses when outdoors. B. Check your temperature daily. C. Take this medication in the morning. D. Add extra calories to your die A nurse is caring for a school age child who has a new prescription for Atomoxetine. The nurse should monitor the client for which of the following adverse effects of this medication? A. Kidney toxicity B. Liver damage C. Seizure activity D. Adrenal insufficiency A nurse is teaching the parents of a school age child about transdermal Methylphenidate. Which of the following instructions should the nurse include? A. Apply one patch twice per day. B. Leave the patch on for 9 hr. C. Apply the patch to the child's waist. D. Use opened tray within 6 months A nurse is teaching a school age child and his parents about a new prescription for Lisdexamfetamine. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. An adverse effect of this medication is CNS stimulation. B. Administer the medication before bedtime. C. Monitor blood pressure while taking this medication. D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop. E. This medication raises the levels of dopamine in the brain A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for Propranolol. Which of the following information should the nurse to include in the teaching? A. Increases the risk for seizure activity B. Provides a form of aversion therapy C. Decreases cravings D. Results in mild hypertension A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? (Select all that apply.) A. Lorazepam B. Diazepam C. Disulfiram D. Naltrexone E. Acamprosate A nurse is providing teaching to a client who has a new prescription for Clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? A. Diarrhea B. Dry mouth C. Insomnia D. Hypertension A nurse is teaching a female client who has tobacco use disorder about Nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching? A. "I should avoid eating right before I chew a piece of nicotine gum." B. "I will need to stop using the nicotine gum after 1 year." C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant." D. "I must chew the nicotine gum quickly for about 15 minutes. A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from Opioid use and has a new prescription for Clonidine. Which of the following actions should the nurse identify as the priority? A. Administer the clonidine on the prescribed schedule. B. Provide ice chips at the client's bedside. C. Educate the client on the effects of clonidine. D. Obtain baseline vital signs A nurse in the post anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate a prescription for which of the following medications? A. Neostigmine B. Naloxone C. Dantrolene D. Vecuronium A nurse is providing information to a client who has early Parkinson's disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Hallucinations B. Increased salivation C. Diarrhea D. Discoloration of urine A nurse is teaching a client who has a new prescription for Levodopa/Carbidopa for Parkinson's disease. Which of the following instructions should the nurse include? A.Increase intake of protein rich foods. B.Expect muscle twitching to occur. C.Take this medication with food. D.Anticipate relief of manifestations in 24 h A nurse is preparing to administer a medication to a client who has absence seizures. The nurse should anticipate administering which of the following medications to the client? (Select all that apply.) A. Phenytoin B. Ethosuximide C. Gabapentin D. Carbamazepine E. Valproic acid F. Lamotrigine A nurse is reviewing a new prescription for oxcarbazepine with a female client who has partial seizures. Which of the following instructions should the nurse include? (Select all that apply.) A."Use caution if given a prescription for a diuretic medication." B."Consider using an alternate form of contraception if you are using oral contraceptives." C."Chew gum to increase saliva production." D."Avoid driving until you see how the medication affects you." E."Notify your provider if you develop a skin rash A nurse is instructing a client who has a new prescription for Timolol how to insert eye drops. The nurse should instruct the client to press on which of the following areas to prevent systemic absorption of the medication? A. Bony orbit B. Nasolacrimal duct C. Conjunctival sac D. Outer canthus A nurse is teaching a client who has a new prescription for Brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching? A. "This medication can stain your contacts." B. "This medication can cause your pupils to constrict." C. "This medication can absorb into your contacts." D. "This medication can slow your heart rate." A nurse in an emergency unit is reviewing the medical record of a client who is being evaluated for angle closure Glaucoma. Which of the following findings are indicative of this condition? A. Insidious onset of painless loss of vision B. Gradual reduction in peripheral vision C. Severe pain around eyes D. Intraocular pressure 12mm Hg A nurse is teaching a client about preventing Otitis Externa. Which of the following instructions should the nurse include? A. Clean the ear with a cotton tipped swab daily B. Place earplugs in the ears when sleeping at night. C. Use a cool water irrigation solution to remove earwax. D. Tip the head to the side to remove water from the ears after showering A nurse in a provider's office is instructing a parent of a toddler how to administer ear drops. Which of the following instructions should the nurse include? (Select all that apply.) A."Place the child on his unaffected side when you are ready to administer the medication." B."Warm the medication by gently rolling it between your hands for a few minutes." C."Gently shake medication that is in suspension form." D."keep the child on his side for 5 minutes after instillation of the ear drops." E."Tightly pack the ear with cotton after instillation of the ear drops. A nurse in the operating room is caring for a client who received a dose of Succinylcholine. During the operation, the client suddenly develops rigidity, and his body temperature begins to rise. The nurse should anticipate a prescription for which of the following medications? A. Neostigmine B. Naloxone C. Dantrolene D. Vecuronium A nurse in the post anesthesia care unit is caring for a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take? (Select all that apply.) A. Place a cooling blanket on the client. B. Administer oxygen at 100%. C. Administer iced 0.9% sodium chloride. D. Administer potassium chloride IV. E. Monitor core body temperature A nurse is teaching a client who has a new prescription for Baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.) A. "I will stop taking this medication right away if I develop dizziness." B. "I know the doctor will gradually increase my dose of this medication for a while." C. "I should increase fiber to prevent constipation from this medication." D. "I won't be able to drink alcohol while I'm taking this medication." E. "I should take this medication on an empty stomach each morning." A nurse is reviewing the health care record of a client who reports urinary incontinence and asks about a prescription for Oxybutynin. The nurse should recognize that Oxybutynin is contraindicated in the presence of which of the following conditions? A. Bursitis B. Sinusitis C. Depression D. Glaucoma A nurse is caring for a client who has a prescription for Bethanechol to treat urinary retention. The nurse should recognize that which of the following findings is a manifestation of muscarinic stimulation? A. Dry mouth B. Hypertension C. Excessive perspiration D. Fecal impaction A nurse is providing instructions to a client who has been experiencing Insomnia and has a new prescription for Temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? (Select all that apply.) A. Incoordination B. Hypertension C. Pruritus D. Sleep driving E. Amnesia A nurse is caring for a client who is receiving moderate sedation with Diazepam IV. The client is oversedated. Which of the following medications should the nurse anticipate administering to this client? A. Ketamine B. Naltrexone C. Flumazenil D. Fluvoxamine A nurse is teaching a client who has a new prescription for Ramelteon. The nurse should instruct the client to avoid which of the following foods while taking this medication? A. Baked potato B. Fried chicken C. Whole grain bread D. Citrus fruits A nurse is caring for a client who is admitted to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of Ketamine as an intravenous anesthetic? A. Peptic ulcer disease B. Breast cancer C. Diabetes mellitus D. Schizophrenia A nurse is providing instructions to a female client who has a new prescription for Zolpidem. Which of the following instructions should the nurse include? A. "Notify the provider if you plan to become pregnant." B. "Take the medication 1 hr before you plan to go to sleep." C. "Allow at least 6 hr for sleep when taking zolpidem." D. "To increase the effectiveness of zolpidem, take it with a bedtime snack. A nurse is teaching a client who has a new prescription for Beclomethasone. Which of the following instructions should the nurse include? A. "Rinse your mouth after each use of this medication." B. "Limit fluid intake while taking this medication." C. "Increase your intake of vitamin B12 while taking this medication." D. "You can take the medication as needed A nurse is providing instructions to a client who has a new prescription for Albuterol and Beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching? A. Take the albuterol at the same time each day. B. Administer the albuterol inhaler prior to using the beclomethasone inhaler. C. Use beclomethasone if experiencing an acute episode. D. Avoid shaking the beclomethasone before us A nurse is providing instructions to the parent of an adolescent client who has a new prescription for Albuterol, PO. Which of the following instructions should the nurse include? A. "You can take this medication to abort an acute asthma attack." B. "Tremors are an adverse effect of this medication." C. "Prolonged use of this medication can cause hyperglycemia." D. "This medication can slow skeletal growth rate A nurse is teaching a client who has a prescription for long term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A.Weight gain B.Nervousness C.Bradycardia D.Constipation A nurse is caring for a client who states she has been taking Phenylephrine nasal drops for the past 10 days for Sinusitis. The nurse should assess the client for which of the following adverse effects of this medication? A. Sedation B. Nasal congestion C. Productive cough D. Constipation A nurse is teaching a client who has a new prescription for Dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Diarrhea B. Anxiety C. Sedation D. Palpitations A nurse is teaching the family of a child who has Cystic Fibrosis and a new prescription for Acetylcysteine. Which of the following information should the nurse include in the instructions? A. "Expect this medication to suppress your cough." B. "Expect this medication to smell like rotten eggs." C. "Expect this medication to cause euphoria." D. "Expect this medication to turn your urine orange A nurse is teaching a client who has a new prescription for Diphenhydramine for allergic Rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions of this medication? (Select all that apply.) A. Dry mouth B. Nonproductive cough C. Skin rash D. Drowsiness E. Urinary hesitation A nurse is teaching a client about the use of Fluticasone to treat Perennial Rhinitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I should use the spray every 4 hours while I am awake." B. "It can take as long as 3 weeks before the medication takes a maximum effect." C. "This medication can also be used to treat motion sickness." D. "I can use this medication when my nasal passages are blocked. A nursing is planning care for a client who is receiving Furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Assess for tinnitus. B. Report urine output 50 mL/hr. C. Monitor serum potassium levels. D. Elevate the head of bed slowly before ambulation. E. Recommend eating a banana daily A nurse is providing information to a client who has a new prescription for Hydrochlorothiazide. Which of the following information should the nurse include? A. Take the medication with food. B. Plan to take the medication at bedtime. C. Expect increased swelling of the ankles. D. Fluid intake should be limited in the morning A nurse is providing information to a client who has a new prescription for Hydrochlorothiazide. Which of the following information should the nurse include? A. Take the medication with food. B. Plan to take the medication at bedtime. C. Expect increased swelling of the ankles. D. Fluid intake should be limited in the morning. A nurse is caring for a client who has increased intracranial pressure and is receiving Mannitol. Which of the following findings should the nurse report to the provider? A. Blood glucose 150 mg/dL B. Urine output 40 mL/hr C. Dyspnea D. Bilateral equal pupil size A nurse is planning caring for a client who is has a new prescription for Torsemide. The nurse should plan to monitor for which of the following adverse reactions of this medications? (Select all that apply.) A. Respiratory acidosis B. Hypokalemia C. Hypotension D. Ototoxicity E. Ventricular dysrhythmias A nurse is reviewing the health record of a client who asks about using Propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol? A. Asthma B. Glaucoma C. Hypertension D. Tachycardia A nurse is teaching a client who has a new prescription for Verapamil to control Hypertension. Which of the following instructions should the nurse include? A. Increase the amount of dietary fiber in the diet. B. Drink grapefruit juice daily to increase vitamin C intake. C. Decrease the amount of calcium in the diet. D. Withhold food for 1 hr after the medication is taken A nurse is caring for a client who has a new prescription for Captopril for hypertension. The nurse should monitor the client for which of the following adverse effects of this medication? A. Hypokalemia B. Hypernatremia C. Neutropenia D. Bradycardia A nurse in an acute care facility is caring for a client who is receiving IV Nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication? A. Intestinal ileus B. Neutropenia C. Delirium D. Hyperthermia A. Simvastatin B. Hydrochlorothiazide C. Phenytoin D. Clonidine E. Aliskiren A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for Digoxin toxicity? A. Calcium 9.2 mg/dL B. Calcium 10.3 mg/dL C. Potassium 3.4 mEq/L D. Potassium 4.8 mEq A nurse is caring for an older adult client who has a new prescription for Digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for Digoxin toxicity? A. Phenytoin B. Verapamil C. Warfarin D. Aluminum hydroxide A nurse is administering a Dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? A. Lowered heart rate B. Increased myocardial contractility C. Decreased conduction through the AV node D. Vasoconstriction of renal blood vessel A nurse is providing teaching to a client who has a new prescription for Digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation Digoxin toxicity? (Select all that apply.) A. Fatigue B. Constipation C. Anorexia D. Rash E. Diplopia A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching? A. Contact provider if heart rate is less than 60/min. B. Check pulse rate for 30 seconds and multiply result by 2. C. Increase intake of sodium. D. Take with food if nausea occur A nurse is teaching a client who has Angina Pectoris and is learning how to treat acute Anginal attacks. The clients asks, "What is my next step if I take one tablet, wait 5 minutes, but still have Anginal pain?" Which of the following responses should the nurse make? A. "Take two more sublingual tablets at the same time." B. "Call the emergency response team." C. "Take a sustained release nitroglycerin capsule." D. "Wait another 5 minutes then take a second sublingual tablet. A nurse is teaching a client who has a new prescription for Nitroglycerin transdermal patch for Angina Pectoris. Which of the following instructions should the nurse include? A. Remove the patch each evening. B. Cut each patch in half if angina attacks are under control. C. Take off the nitroglycerin patch for 30 min if a headache occurs. D. Apply a new patch every 48 hr A nurse is taking a medication history from a client who has Angina and is to begin taking Ranolazine. The nurse should report which of the following medications in the client's history that can interact with Ranolazine? (Select all that apply.) A. Digoxin B. Simvastatin C. Verapamil D. Amlodipine E. Nitroglycerin transdermal patch A nurse is caring for a client who is prescribed Isosorbide Mononitrate for chronic stable Angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? A. Furosemide B. Captopril C. Ranolazine D. Metoprolol A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. The nurse should include which of the following instructions? A."Remove the prior dose before applying a new dose." B."Rub the ointment directly into your skin until it is no longer visible." C."Cover the applied ointment with a clean gauze pad." D."Apply the ointment to the same skin area each time 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? A. Light yellow urine B. Report of tinnitus C. Productive cough D. Blue gray skin discoloration A nurse is caring for a client who received IV Verapamil to treat supraventricular tachycardia (SVT). The client's pulse rate is now 98/min and his blood pressure is 74/44 mg hg. The nurse should anticipate a prescription for which of the following IV medications? A. Calcium gluconate B. Sodium bicarbonate C. Potassium chloride D. Magnesium sulfate 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? A. Bruising B. Report of metallic taste C. Muscle pain D. Report of anorexia A nurse is assessing a client who has taken 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.) A. Hypertension B. Widened QRS complex C. Narrowed QT interval D. Easy bruising E. Swollen joints 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? A. Hold propranolol for an apical pulse greater than 100/min. B. Administer propranolol to increase the client's blood pressure. C. Assist the client when she sits up or stands after taking this medication. D. Check for hypokalemia frequently due to the risk for propranolol toxicity. A nurse is providing teaching to a client who is starting Simvastatin. Which of the following information should the nurse include in the teaching? A. Take this medication in the evening. B. Change position slowly when rising from a chair. C. Maintain a steady intake of green leafy vegetables. D. Consume no more than 1 L/day of fluid A nurse is collecting data from a client who is taking Gemfibrozil. Which of the following assessment findings should the nurse identify as an adverse reaction to the medication? A. Mental status changes B. Tremor C. Jaundice D. Pneumonia A nurse is teaching a client who is taking Digoxin and has a new prescription for Colesevelam. Which of the following instructions should the nurse include in the teaching? A. "Take digoxin with your morning dose of colesevelam." B. "Your sodium and potassium levels will be monitored periodically while taking colesevelam." C. "Watch for bleeding or bruising while taking colesevelam." D. "Take colesevelam with food and at least one glass of water. A nurse is completing a nursing history for a client who takes Simvastatin. The nurse should identify which of the following disorders as a contraindication to adding Ezetimibe to the client's medications? A. History of severe constipation B. History of hypertension C.vActive hepatitis C D. Type 2 diabetes mellitus A nurse is caring for a client who has a new prescription for Niacin to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of Niacin? (Select all that apply.) A. Muscle aches B. Hyperglycemia C. Hearing loss D. Flushing of the skin E. Jaundice 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 plan to take? A. Expel the air bubble from the prefilled syringe before injecting. B. Insert the needle completely into the client's tissue. C. Administer the injection in the client's thigh. D. Aspirate carefully after inserting the needle into the client's skin A nurse is caring for a hospitalized client who is receiving IV heparin for a deep vein thrombosis. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer? A. Vitamin k1 B. Atropine C. Protamine D. Calcium gluconate 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? A. Administer IM Enoxaparin along with the Alteplase dose. B. Hold direct pressure on puncture sites for up to 30 min. C. Administer Aminocaproic acid IV prior to alteplase infusion. D. Prepare to administer Alteplase within 8 hr of manifestation onset. 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.) A. Hypertension B.Coffee ground emesis C.Tinnitus D.Paresthesias of the extremities E.Nausea C. Tinnitus and hearing loss can occur as an adverse effect of aspirin therapy E. Nausea, vomiting, and abdominal pain can occur as a result of aspirin therapy) A nurse is caring for a client who has Atrial Fiibrillation 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? A. Vitamin k1 B. Protamine C. Omeprazole D. Probenecid 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? A. Hemoglobin B. Absolute neutrophil count C. Platelet count D. Total white blood count A nurse is preparing to administer Filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following interventions is appropriate? A. Administer Im in a large muscle mass to prevent injury. B. Ensure that the medication is refrigerated until just prior to administration. C. Shake vial gently to mix well before withdrawing dose. D. Discard vial after removing one dose of the medication 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) A. Leukocytosis B. Hypertension C. Edema D. Blurred vision E. Headache A nurse is assessing a client who has chronic Neutropenia and who has been receiving Gilgrastim. Which of the following actions should the nurse take to assess for an adverse effect of filgrastim? A. Assess for bone pain. B. Assess for right lower quadrant pain. C. Auscultate for crackles in the bases of the lungs. D. Auscultate the chest to listen for a heart murmur A nurse is preparing to administer a transfusion of 300 mL 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? A. Within 30 min/unit B. Within 60 min/unit C. Within 2 hr/unit D. Within 4 hr/unit A nurse is transfusing a unit of packed Red blood cells (PRBCs) for a client who has Anemia due to Chemotherapy. The client reports a sudden headache and chills. The client's temperature is 2° F higher than her baseline. In addition to notifying the provider, which of the following actions should the nurse take? (Select all that apply.) A. Stop the transfusion. B. Place the client in a upright position with feet down. C. Remove the blood bag and tubing from the IV catheter. D. Obtain a urine specimen. E. Infuse dextrose 5% in water through the IV A nurse is preparing to transfuse a unit of packed red blood cells (PRBCs) for a client who has severe anemia. Which of the following interventions will prevent an acute hemolytic reaction? A.Ensure that the client has a patent IV line before obtaining blood product from the refrigerator. B.Obtain help from another nurse to confirm the correct client and blood product. C.Take a complete set of vital signs before beginning transfusion and periodically during the transfusion. D.Stay with the client for the first 15 to 30 min of the transfusion Which of the following blood products should the nurse prepare to transfuse? A. Whole blood B. Platelets C. Fresh frozen plasma D. Packed red blood cells A nurse is assessing a client during transfusion of a unit of whole blood. The client develops a cough, shortness of breath, elevated blood pressure, and distended neck veins. The nurse should anticipate a prescription for which of the following medications? A. Epinephrine B. Lorazepam C. Furosemide D. Diphenhydramine A nurse is providing instructions to a client who has a prescription for Amoxicillin and Clarithromycin to treat a Peptic Ulcer. Which of the following information should the nurse include in the teaching? A. "Take these medications with food." B. "These medications can turn your stool black" C. "These medications can cause photosensitivity." D. "The purpose of these medications is to decrease the ph of gastric juices in the stomach A nurse is teaching a client who has a new prescription for Omeprazole for management of heartburn. Which of the following information should the nurse include in the teaching? A. Take this medication at bedtime. B. This medication decreases the production of gastric acid. C. Take this medication 2 hr after eating. D. This medication can cause hyperkalemia A nurse is teaching a client who is taking Sucralfate PO for Peptic Ulcer Disease has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include? A. Take an antacid with the sucralfate. B. Take sucralfate with a glass of milk. C. Allow a 2 hr interval between these medications. D. Chew the sucralfate thoroughly before swallowing A nurse is caring for four clients who have Peptic Ulcer Disease. The nurse should recognize Misoprostol is contraindicated for which of the following clients? A. A client who is pregnant B. A client who has osteoarthritis C. A client who has a kidney stone D. A client who has a urinary tract infection A nurse is providing a client who has Peptic Ulcer Disease with instructions about managing his condition. Which of the following instructions should the nurse include? (Select all that apply.) A. "Eat a bedtime snack." B. "Drink decaffeinated coffee" C. "Low dose aspirin therapy should be avoided." D. "Seek measures to reduce stress." E. "Avoid smoking." A nurse is caring for a client who received Prochlorperazine 4 hr ago. The client reports spasms of his face. The nurse should anticipate a prescription for which of the following medications? A.Fomepizole B.Naloxone C.Phytonadione D.Diphenhydramine A nurse is planning to administer Ondansetron IV for an older adult client who has a history of diabetes mellitus and cardiac myopathy and is receiving chemotherapy for cancer. For which of the following adverse effects of ondansetron should the nurse monitor? (Select all that apply.) A. Headache B. Diarrhea C. Shortened PR interval D. Hyperglycemia E. Prolonged QT interval A nurse is providing instructions about the use of laxatives to a client who has heart failure. The nurse should tell the client he should avoid which of the following laxatives? A. Sodium phosphate B. Psyllium C. Bisacodyl D. Polyethylene glycol A nurse is caring for a client who has Diabetes and is experiencing Nausea due to Gastroparesis. The nurse should anticipate a prescription for which of the following medications? A. Lubiprostone B. Metoclopramide C. Bisacodyl D. Loperamide A nurse is providing information about Probiotic supplements to a male client. Which of the following information should the nurse include? (Select all that apply.) A. "Probiotics are micro organisms that are normally found in the GI tract." B. "Probiotics are used to treat Clostridium difficile." C. "Probiotics are used to treat benign prostatic hyperplasia." D. "You can experience bloating while taking probiotic supplements." E. "If you are prescribed an antibiotic, you should take it at the same time you take your probiotic supplement." A nurse is teaching a client who has Anemia and a new prescription for a liquid Iron supplement. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. "Add foods that are high in fiber to your diet." B. "Rinse your mouth after taking the medication." C. "Expect stools to be green or black in color." D. "Take the medication with a glass of milk." E. "Add red meat to your diet." A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. Which of the following herbal supplements should the nurse report to the provider? A. Glucosamine B. Saw palmetto C. Kava D. St. John's wort A nurse is evaluating a group of clients at a health fair to identify the need for folic acid therapy. Which of the following clients require folic acid therapy? (Select all that apply.) A.12 year old child who has iron deficiency anemia B.24 year old female who has no health problems C.44 year old male who has hypertension D.55-year old female who has alcohol use disorder E.35 year old male who has type 2 diabetes mellitus A nurse is preparing to administer Potassium Chloride IV to a client who has Hypokalemia. Which of the following actions should the nurse take? (Select all that apply.) A. Infuse medication through a large bore needle. B. Monitor urine output to ensure at least 20 mL/hr. C. Administer medication via direct IV bolus. D. Implement cardiac monitoring. E. Administer the infusion using an IV pump A nurse is caring for a client who requests information on the use of Feverfew. Which of the following responses should the nurse make? A. "It is used to treat skin infections." B. "It can decrease the frequency of migraine headaches." C. "It can lessen the nasal congestion in the common cold." D. "It can relieve nausea of morning sickness during pregnancy." A nurse is completing an assessment of a client's current medications. The client states she also takes Gingko Biloba. Which of the following medications is contraindicated for a client taking Gingko Biloba? A. Acetaminophen B. Warfarin C. Digoxin D. Lisinopri A nurse is reviewing the health care record of a client who is asking about conjugated equine estrogens. The nurse should inform the client this medication is contraindicated in which of the following conditions? A. Atrophic vaginitis B. Dysfunctional uterine bleeding C. Osteoporosis D. Thrombophlebitis A nurse is providing teaching to a female client who is taking Testosterone to treat advanced breast cancer. The nurse should tell the client that which of the following are adverse effects of this medication? (Select all that apply.) A. Deepening voice B. Weight gain C. Low blood pressure D. Dry mouth E. Facial hair A nurse is explaining the mechanism of action of combination oral contraceptives to a group of clients. The nurse should tell the clients that which of the following actions occur with the use of combination oral contraceptives? (Select all that apply.) A.Thickening the cervical mucus B.Inducing maturation of ovarian follicle C.Increasing development of the corpus luteum D.Altering the endometrial lining E.Inhibiting ovulation A nurse is providing teaching to a client who will start Alfuzosin for treatment of Benign Prostatic Hyperplasia. The nurse should instruct the client that which of the following is an adverse effect of this medication? A.Bradycardia B. Edema C. Hypotension D. Tremor A nurse is caring for a client who has angina and asks about obtaining a prescription for sildenafil to treat erectile dysfunction. Which of the following medications is contraindicated with Sildenafil? A. Aspirin B. Isosorbide C. Clopidogrel D. Atorvastatin A nurse is teaching a client about Terbutaline. Which of the following statements by the client indicates understanding of the teaching? A. "This medication will stop my contractions." B. "This medication will prevent vaginal bleeding." C. "This medication will promote blood flow to my baby." D. "This medication will increase my prostaglandin production A nurse is caring for a client who has Reeclampsia and is receiving Magnesium Sulfate IV continuous infusion. Which of the following findings should the nurse report to the provider? A. 2+ deep tendon reflexes B. 2+ pedal edema C. 24 mL/hr urinary output D. Respirations 12/mi A nurse is caring for a client who has a new prescription for Oxytocin to stimulate uterine contractions. Which of the following interventions should the nurse make? (Select all that apply.) A. Use an infusion pump for medication administration. B. Obtain vital signs frequently and with every dosage change. C. Stop infusion if uterine contractions occur every 4 min and last 45 seconds. D. Increase medication infusion rate rapidly. E. Monitor fetal heart rate continuously A nurse is caring for a client who is in labor and receiving IV Opioid analgesics. Which of the following actions should the nurse take? A. Instruct the client to self ambulate every 2 hr. B. Offer oral hygiene every 2 hr. C. Anticipate medication administration 2 hr prior to delivery. D. Monitor fetal heart rate every 2 hr A nurse is reviewing a new prescription for Terbutaline with a client who has a history of preterm labor. Which of the following client statements indicates understanding of the teaching? A. "I can increase my activity now that I've started on this medication." B. "I will increase my daily fluid intake to 3 quarts." C. "I will report increasing intensity of contractions to my doctor." D. "I am glad this will prevent preterm labor A nurse is providing teaching for a client who has gout and a new prescription for Allopurinol. For which of the following adverse effects should the client be taught to monitor? (Select all that apply.) A. Stomatitis B. Insomnia C. Nausea D. Rash E. Increased gout pain A nurse is caring for a client who has a new prescription for Adalimumab for Rheumatoid Arthritis. Based on the route of administration of Adalimumab, which of the following should the nurse plan to monitor? A. The vein for thrombophlebitis during IV administration B. The subcutaneous site for redness following injection C. The oral mucosa for ulceration after oral administration D. The skin for irritation following removal of transdermal patch A nurse is preparing to administer Belimumab for a client who has Systemic Lupus Erythematosus. Which of the following actions should the nurse plan to take? A.Warm the medication to room temperature over 1 hr before administering. B. Administer the medication by IV bolus over 5 min. C. Dilute the medication in 5% dextrose and water solution. D. Monitor the client for hypersensitivity reactions A nurse is caring for a client who has a new diagnosis of Fibromyalgia. Which of the following medications should the nurse anticipate being prescribed for this client? A. Colchicine B. Hydroxychloroquine C. Auranofin D. Duloxetine A nurse is evaluating teaching for a client who has Rheumatoid Arthritis and a new prescription for Methotrexate. Which of the following statements by the client indicates understanding of the teaching? A. "I will be sure to return to the clinic at least once a year to have my blood drawn while I'm taking methotrexate." B. "I will take this medication on an empty stomach." C. "I'll let the doctor know if I develop sores in my mouth while taking this medication. D. "I should stop taking oral contraceptives while I'm taking methotrexate. A nurse is providing teaching to a client who is taking Raloxifene to prevent Postmenopausal Osteoporosis. The nurse should advise the client that which of the following are adverse effects of this medication? (Select all that apply.) A. Hot flashes B. Lump in breast C. Swelling or redness in calf D. Shortness of breath E. Difficulty swallowing A nurse is teaching a client who has Osteoporosis and a new prescription for Alendronate. Which of the following instructions should the nurse provide? (Select all that apply.) A. Take medication in the morning before eating. B. Chew tablets to increase bioavailability. C. Drink an 8 oz glass of water with each tablet. D. Take medication with an antacid if heartburn occurs. E.Avoid lying down after taking this medication A nurse is caring for a client who has a new prescription for Calcitonin salmon for Osteoporosis. Which of the following tests should the nurse tell the client to expect before beginning this medication? A. Skin test for allergy to the medication B. ECG to rule out cardiac dysrhythmias C. Mantoux test to rule out exposure to tuberculosis D. Liver function tests to assess risk for medication toxicity A nurse is caring for a young adult client whose serum Calcium is 8.8 mg/dL. Which of the following medications should the nurse anticipate administering to this client? A. Calcitonin salmon B. Calcium carbonate C. Zoledronic acid D. Ibandronate A nurse is providing instruction to a client who has a new prescription for Calcitonin salmon for postmenopausal Osteoporosis. Which of the following instructions should the nurse include in the teaching? A. Swallow tablets on an empty stomach with plenty of water. B. Watch for skin rash and redness when applying calcitonin salmon topically. C. Mix the liquid medication with juice and take it after meals. D. Alternate nostrils each time calcitonin salmon is inhale A nurse is assessing a client who has salicylism [Show More]

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