ATI Pharmacology proctored Exam2022 Questions Answered 100% correct

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A nurse in a providers office is preparing to teach a middle aged adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following medication should the nurse pl... an to teach the client about first? - ANSWER Metformin A nurse is reviewing a client laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse with hold the medication and contact the provider? - ANSWER Potassium 2.5 mEq/L A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor which of the following as an indication of an allergic reaction following the injection? - ANSWER Urticaria A nurse is caring for a client who has diabetes mellitus and is taking piogiltazole. The nurse should plan to monitor the client for which of the following adverse effects? - ANSWER Orthostatic hypotension A nurse is assessing a client who takes glipizide for the treatment of type two diabetes. Which of the following findings indicate effectiveness of the medication? - ANSWER HgbA1c 6.5% A nurse is reviewing a clients medical record before administering acetaminophen 650 mg PO every 6 hours. Which of the following findings indicates a need for the nurse to notify the provider? - ANSWER History of alcohol use disorder A nurse is assessing a client who has been taking lithium for one year. Which of the following client reports is a nurses priority? - ANSWER Mild thirst A client who has Graves' disease is prescribed methimazole. Which of the following affects should the nurse expect to see you after the client has taken the medication for two months? - ANSWER Increased sleeping A nurse is preparing to administer 4000 units of heparin subcutaneously to a client who has deep vein thrombosis. Available is heparin 10,000 units/ mL. How many ML's of heparin should the nurse administered? - ANSWER 0.4 A nurse is teaching a client who is to begin cyclophosphamide Therapy to treat cancer. Which of the following adverse effects of this medication should the nurse include in the teaching? - ANSWER leukopenia A nurse is teaching a client who has HIV in a new prescription for efavirenz. Which of the following instruction should the nurse include in the teaching? - ANSWER Notify the provider for the appearance of a skin rash A nurse is assessing a client who has been taking digoxin for about a month. Which of the following findings should the nurse identify as an indication that the client has developed a digoxin toxicity? - ANSWER Blurred vision A nurse receives a prescription to give tobramyosin to a client daily. Which of the following laboratory value should the nurse report to the provider? - ANSWER Serum creatinine 2.5 Mg/dL A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions as a priority at this time? - ANSWER Implement seizure precautions A nurse is reviewing a clients medical record before administering a new prescription for atropine. Which of the following client conditions is contraindicated. - ANSWER Glaucoma A nurse is teaching a client who has a prescription for Ferris gluconate. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER I should stay upright for at least 15 minutes after taking this medication. A nurse is teaching a client who has multiple allergies about using Epinephrine auto injector. Which of the following instruction should the nurse include. - ANSWER Administer the medication through clothing if necessary. A nurse is assessing a client who is receiving heparin therapy for deep vein thrombosis. Which of the following findings should indicate to the nurse said the therapy as effective? - ANSWER Platelets within the expected reference range A charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following actions by the newly licensed nurse requires the charge nurse to complete an incident report? - ANSWER A client has a lithium level of 1.8 and receives her morning dose of lithium A nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? - ANSWER Bladder Distention A nurse is teaching a client who is to start cromolyn. Which of the following information should the nurse include in the teaching? - ANSWER Cromolyn is a long term management medication A nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. The nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer? - ANSWER 1.3 mL A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider? - ANSWER Bruxism OR Confusion A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first? - ANSWER Inject air into the NPH vial A nurse is teaching a client who has a new prescription for nitroglycerin patches. The nurse should identify which of the following statements as an indication that the client understands the teaching ? - ANSWER I will rotate the application site avoid skin irritation A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. In which of the following locations should the nurse place the catheter? - ANSWER A vein on the clients wrist A nurse is providing teaching to a client who has a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid? - ANSWER Cheddar cheese A nurse is providing discharge dietary teaching to a client who has a new prescription for theophylline. Which of the following instructions should the nurse include? - ANSWER Avoid caffeinated beverages A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing a muscarinic response. Which of the following manifestations should the nurse expect? - ANSWER Excessive salvation A nurse is caring for a client who is taking azathioprine to treat rheumatoid arthritis. Which of the following lab values indicates an adverse effect of this medication? - ANSWER WBC 3,000/mm A nurse is assessing a client who received dinoprostone gel to stimulate cervical ripening. Which of the following findings is the nurse's priority. - ANSWER Uterine tachysystole A nurse is reviewing the medical record of a client who is receiving vancomycin daily. The nurse should review which of the following lab results prior to administering the next dose? - ANSWER Creatinine level A nurse is teaching the parent of a toddler who is to begin taking ferrous fumarate. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWER I will rinse my childs mouth with water after she takes the medicine A nurse is teaching a client who has a new prescription for alendronate to treat osteoporosis. Which of the following instructions should the nurse include? - ANSWER Sit upright for at least 30 mins after taking the medication. A nurse in the emergency department is reviewing a medication record for a client who reports vomiting blood. The nurse should anticipate that the provider will discontinue which of the following medications? - ANSWER Clopidogrel A nurse is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than verbal prescription from the provider? - ANSWER Fentanyl A nurse is preparing to administer nitroglycerin topical ointment to a client. Which of the following actions should the nurse plan to take? - ANSWER Measure the dosage of medication using the applicator paper. A nurse is providing teaching to a client who has a new prescription for nitroglycerin sublingual. Which of the following client responses indicate an understanding of the teaching? - ANSWER I should keep my tablets in a dark container at room temperature. A nurse is providing teaching to a client who has a prescription for omeprazole. Which of the following instructions should the nurse include in the teaching? - ANSWER Long term use of the medication increases the risk of fractures. A nurse is assessing a client who is in labor and is receiving epidural anethesia. Which of the following findings should the nurse identify as the priority? - ANSWER Hypotension A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects? - ANSWER Drowsiness A nurse is providing teaching to a client who has a new prescription for phenelzine. The nurse should instruct the client to avoid which of the following foods. - ANSWER smoked salmon A nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. The nurse should discontinue the infusion and prepare to administer calcium gluconate if the client demonstrates which of the following findings? - ANSWER 1. absence of deep-tendon reflexes 2. Urine output 80 mL in 4 hrs 3. Decreased level of consciousness A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 mins earlier. For which of the following findings should the nurse notify the provider? - ANSWER The client reports difficulty hearing A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report? - ANSWER The client has a history of severe penicillin allergy A nurse is teaching a newly licensed nurse about medication reconciliation? The nurse should instruct the newly licensed nurse to preform medication reconciliation for which of the following clients? - ANSWER A client who is transferred to the step down unit. A nurse is caring for a client who is to start therapy with lovastatin. The nurse should prepare the client for which of the following diagnostic assessments? - ANSWER Liver function tests A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care? - ANSWER Monitor the client for hearing loss. A nurse is teaching a client who has pernicious anemia to self administer nasal cyanocobalamin (Vit b12). Which of the following information should the nurse include in the teaching? - ANSWER Administer the medication into one nostril once per week. A nurse is administering medications to a client. Which of the following medications should the nurse plan to administer by a parenteral route? - ANSWER fondaparinux A nurse is providing discharge teaching to a client who is receiving warfarin. Which of the following statements is appropriate for the nurse to make? - ANSWER Avoid eating large amounts of cabbage and broccoli. A nurse is reviewing a clients 0800 lab values at 1100. The nurse notes that the client received heparin at 1000. Which of the following lab values warrants an incident report? - ANSWER aPTT 90 seconds A nurse is obtaining a medication history from a client who has gout and is prescribed probenecid. The nurse should notify the provider that the client is taking which of the following over the counter medications? - ANSWER Salicylic acid A nurse is caring for a client who is receiving IV amphotericin B. Which of the following should the nurse identify as an acute infusion reaction? - ANSWER Fever A nurse in the emergency department is caring for a client who reports a severe headache. The clients blood is 280/160 mm Hg. The nurse should plan to administer which of the following medications? - ANSWER Nitroprusside A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan? - ANSWER The client will wear his reading glasses when drawing up a dose of insulin glargine. A nurse is assessing a client who takes levothyroxine for hypothyroidism. The nurse should identify that which of the following findings indicates the need for an increase in dosage? - ANSWER 1. Impaired short term memory 2. Heart Rate 46/min 3. Cold intolerance A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects? - ANSWER Blurred Vision A nurse is planning to administer medications to a client who weighs 198 lbs. The prescription reads "fligrastim 5 mcg/kg subcut daily." Available is filgrastim 300 mcg/mL. How many mL should the nurse plan to give with each dose? - ANSWER 1.5 A nurse is planning care for a group of clients. Which of the following clients medications should be monitored by the nurse for hearing loss related to which of the following medication interactions? - ANSWER furosemide and amikacin A nurse is reviewing the medications of a client who is experiencing orthostatic hypotension. The nurse should identify this finding as an adverse effect of which of the following medications? - ANSWER imipramine (antidepressant) A nurse is evaluating a client who has tuberculosis and has been taking rifampin for 1 month. Which of the following lab tests should the nurse review to evaluate for an adverse effect of this medication? - ANSWER ALT A nurse is providing teaching to a client who has a new prescription for warfarin about potential interactions with over the counter products. Which of the following products should the nurse instruct the client to avoid. - ANSWER Naproxen A nurse recently administered figrastim IV to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report? - ANSWER The client had chemotherapy 12 hours before the medication was administered. A nurse is providing teaching to a client who has a new prescription for nitroglycerin. Which of the following client statements indicated an understanding of the teaching? - ANSWER I will call 911 if my pain is not relieved after taking the medication A nurse is assessing a client who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of the medication? - ANSWER Watery diarrhea A nurse is teaching a client who has a new prescription for ergotamine to treat vascular headaches. The nurse should inform the client that which of the following is a potential adverse effect of this medication? - ANSWER Muscle pain A nurse is teaching a client who has active pulmonary tuberculosis about management of medications for the disease. Which of the following statements is appropriate for the nurse to make? - ANSWER You will need to take 2 or more medications to treat your disease. A nurse is reviewing the lab data of a client who is receiving filgrastim. Which of the following lab values should the nurse monitor to evaluate the effectiveness of the treatment? - ANSWER WBC count A nurse is evaluating a client who is preforming a return demonstration of enoxaparin administration. Which of the following client actions indicates an understanding of the teaching? - ANSWER Administers the injection in the abdomen. [Show More]

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